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WALGREEN CO.
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
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 07934
301 S US HWY 131
THREE RIVERS, MI 49093
Pharmacy Comments
Contract Details
Approval Date
1/14/2014
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
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/14/2014
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