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MEIJER SPECIALTY PHARMACY
DSH230121 The Memorial Hospital d/b/a Memorial Healthcare
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Covered Entity Details
Entity Name
The Memorial Hospital d/b/a Memorial Healthcare
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH230121
Entity Address
826 W. King Street
Owosso, MI 48867
Medicare Provider Number
230121
Participating Start Date
7/1/2014
Last Recertification Date
9/6/2024
Pharmacy Details
Pharmacy Name
MEIJER SPECIALTY PHARMACY
Pharmacy Address
8455 HAGGERTY ROAD
BELLEVILLE, MI 48111
Pharmacy Comments
Contract Details
Approval Date
4/14/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jorri Tremain, Chief Financial Officer
(989) 729-4466
Contract Pharmacy Representative
Meijer
Holly VanLente, Pharmaceutical Buyer
(616) 735-8014
Signed By Date
4/14/2025
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