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LAKESHORE PHARMACIES INC
CAH231328-00 Ascension Borgess Allegan Hospital
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Covered Entity Details
Entity Name
Ascension Borgess Allegan Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH231328-00
Entity Address
555 LINN STREET
ALLEGAN, MI 49010
Medicare Provider Number
231328
Participating Start Date
9/2/2010
Last Recertification Date
8/20/2024
Pharmacy Details
Pharmacy Name
LAKESHORE PHARMACIES INC
Pharmacy Address
115 LOCUST ST
DBA ALLEGAN COMMUNITY PHARMACY
ALLEGAN, MI 49010-1301
Pharmacy Comments
Contract Details
Approval Date
4/13/2015
Contract Begin Date
7/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/21/2022
Ownership change
Contacts
Covered Entity Signing Official
RICHARD HARNING, Vice President and CFO
(269) 686-4284
Contract Pharmacy Representative
Daniel M. Alexander, President
(269) 673-4188
Signed By Date
4/13/2015
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