340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
MYMICHIGAN MEDICAL CENTER MIDLAND
SCH230100-00 MYMICHIGAN MEDICAL CENTER TAWAS
Print
Covered Entity Details
Entity Name
MYMICHIGAN MEDICAL CENTER TAWAS
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH230100-00
Entity Address
200 Hemlock Road/ M-55
Tawas City, MI 48763
Medicare Provider Number
230100
Participating Start Date
7/1/2012
Last Recertification Date
8/16/2024
Pharmacy Details
Pharmacy Name
MYMICHIGAN MEDICAL CENTER MIDLAND
Pharmacy Address
4000 WELLNESS DR
MIDLAND, MI 48670
Pharmacy Comments
Contract Details
Approval Date
10/15/2024
Contract Begin Date
1/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
michael joseph erickson, President
(989) 839-3378
Contract Pharmacy Representative
MyMichigan Health
Brooke Peterson, Manager, Pharmacy
(989) 596-9190
Signed By Date
10/15/2024
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session