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Sav-On Proos Pharmacy
DSH230046 UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS
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Covered Entity Details
Entity Name
UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH230046
Entity Address
1500 EAST MEDICAL CENTER DRIVE
ANN ARBOR, MI 48109
Medicare Provider Number
230046
Participating Start Date
1/1/2004
Last Recertification Date
8/20/2024
Pharmacy Details
Pharmacy Name
Sav-On Proos Pharmacy
Pharmacy Address
11912 Whitmore Lake Road
Whitmore Lake, MI 48189
Pharmacy Comments
Contract Details
Approval Date
10/11/2011
Contract Begin Date
10/11/2011
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
11/10/2017
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
James G. Stevenson, Director of Pharmacy Services
(734) 647-7794
Contract Pharmacy Representative
Jim Proos, Pharmacist
(734) 449-0004
Signed By Date
10/7/2011
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