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MEIJER PHARMACY #464
DSH230070 COVENANT MEDICAL CENTER
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Covered Entity Details
Entity Name
COVENANT MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH230070
Entity Address
1447 N HARRISON STREET
SAGINAW, MI 48602
Medicare Provider Number
230070
Participating Start Date
4/1/2004
Last Recertification Date
8/13/2024
Pharmacy Details
Pharmacy Name
MEIJER PHARMACY #464
Pharmacy Address
41255 COCA COLA DR.
BELLEVILLE, MI 48111-1827
Pharmacy Comments
Contract Details
Approval Date
10/10/2016
Contract Begin Date
1/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
KEVIN S. ALBOSTA, CFO
(989) 583-2769
Contract Pharmacy Representative
Meijer
Jeff Romano, Hospital Programs
(616) 791-3171
Signed By Date
10/10/2016
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