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MOORE FAMILY PHARMACY ALLEGAN
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
MOORE FAMILY PHARMACY ALLEGAN
Pharmacy Address
100 MONROE ST
SUITE B
ALLEGAN, MI 49010-1363
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
6/1/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
RICHARD HARNING, Vice President and CFO
(269) 686-4284
Contract Pharmacy Representative
Ryan Moore, Pharmacist/ Owner
(269) 673-6749
Signed By Date
4/13/2015
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