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WALMART PHARMACY 10-5169
SCH230239-00 MyMichigan Medical Center Sault
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Covered Entity Details
Entity Name
MyMichigan Medical Center Sault
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH230239-00
Entity Address
500 OSBORN BOULEVARD
SAULT STE. MARIE, MI 49783
Medicare Provider Number
230239
Participating Start Date
9/1/2010
Last Recertification Date
8/31/2024
Pharmacy Details
Pharmacy Name
WALMART PHARMACY 10-5169
Pharmacy Address
2252 NORTH 8TH STREET
SUITE A
ROGERS, AR 72756
Pharmacy Comments
Contract Details
Approval Date
7/7/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Kevin Kalchik, President
(906) 635-4456
Contract Pharmacy Representative
Walmart
Tisha Campbell, Director of Contracting
(949) 872-4138
Signed By Date
7/7/2023
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