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Walmart Pharmacy 10-7611
CAH231312-00 SHERIDAN COMMUNITY HOSPITAL
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Covered Entity Details
Entity Name
SHERIDAN COMMUNITY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH231312-00
Entity Address
301 N MAIN STREET
SHERIDAN, MI 48884
Medicare Provider Number
231312
Participating Start Date
7/1/2017
Last Recertification Date
8/15/2024
Pharmacy Details
Pharmacy Name
Walmart Pharmacy 10-7611
Pharmacy Address
2501 Perry Rd
Plainfield, IN 46168
Pharmacy Comments
Contract Details
Approval Date
1/17/2024
Contract Begin Date
4/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Ljiljana Petricevic, CEO
(989) 291-6222
Contract Pharmacy Representative
Sheridan Community Hospital
Mary Kathleen Thomas, Pharmacist
(989) 291-6276
Signed By Date
1/17/2024
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