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WAL-MART PHARMACY 10-1771
DSH230096 STURGIS HOSPITAL
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Covered Entity Details
Entity Name
STURGIS HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH230096
Entity Address
916 MYRTLE AVENUE
STURGIS, MI 49091
Medicare Provider Number
230096
Participating Start Date
7/1/2011
Last Recertification Date
9/10/2018
Entity Termination Date
7/1/2019
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-1771
Pharmacy Address
1500 SOUTH CENTERVILLE ROAD
STURGIS, MI 49091
Pharmacy Comments
Contract Details
Approval Date
1/10/2014
Contract Begin Date
4/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2019
Covered Entity Terminated
Contacts
Covered Entity Signing Official
ROBERT J. LABARGE, CEO
(269) 659-4400
Contract Pharmacy Representative
Wal-Mart
Marcus Osborne, V.P. Health & Wellness, Sales & Contracting
(479) 204-9374
Signed By Date
1/10/2014
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