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HOME TOWN PHARMACY LTC
DSH230035 Corewell Health Greenville Hospital
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Covered Entity Details
Entity Name
Corewell Health Greenville Hospital
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH230035
Entity Address
615 S. BOWER STREET
GREENVILLE, MI 48838
Medicare Provider Number
230035
Participating Start Date
1/20/2010
Last Recertification Date
8/22/2024
Pharmacy Details
Pharmacy Name
HOME TOWN PHARMACY LTC
Pharmacy Address
4382 14 MILE RD NE
ROCKFORD, MI 49341-7838
Pharmacy Comments
Contract Details
Approval Date
7/11/2013
Contract Begin Date
10/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/28/2017
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Priscilla Kay Mahar, Chief Operating and Compliance Officer
(616) 225-6313
Contract Pharmacy Representative
Hometown Pharmacy Inc.
Jim Grice, Vice President
(231) 861-6900
Signed By Date
7/11/2013
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