340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WAL-MART PHARMACY 10-1428
RRC230030-00 MYMICHIGAN MEDICAL CENTER ALMA
Print
Covered Entity Details
Entity Name
MYMICHIGAN MEDICAL CENTER ALMA
Subdivision Name
Type
Rural Referral Center
340B ID
RRC230030-00
Entity Address
300 E. WARWICK DRIVE
ALMA, MI 48801
Medicare Provider Number
230030
Participating Start Date
10/1/2023
Last Recertification Date
8/16/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-1428
Pharmacy Address
4730 ENCORE BLVD
MOUNT PLEASANT, MI 48858
Pharmacy Comments
Contract Details
Approval Date
1/7/2014
Contract Begin Date
4/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2018
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Mark Santamaria, President and CEO
(989) 466-3258
Contract Pharmacy Representative
Wal-Mart
Marcus Osborne, V.P. Health & Wellness, Sales & Contracting
(479) 204-9374
Signed By Date
1/7/2014
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session