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WAL-MART PHARMACY 10-3328
DSH230208 SPARROW CARSON HOSPITAL
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Covered Entity Details
Entity Name
SPARROW CARSON HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH230208
Entity Address
406 EAST ELM STREET
CARSON CITY, MI 48811
Medicare Provider Number
230208
Participating Start Date
4/1/2008
Last Recertification Date
8/22/2018
Entity Termination Date
1/1/2020
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-3328
Pharmacy Address
10772 WEST CARSON CITY ROAD
GREENVILLE, MI 48838
Pharmacy Comments
Contract Details
Approval Date
10/12/2016
Contract Begin Date
1/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/13/2019
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Matthew J. Thompson, President and CEO
(989) 584-6221
Contract Pharmacy Representative
WALMART
Julie Howard, Manager Contracting & Channel Management
(479) 277-1498
Signed By Date
10/12/2016
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