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MERCY HEALTH MUSKEGON PHARMACY
CAH231320-00 Trinity Health Shelby Hospital
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Covered Entity Details
Entity Name
Trinity Health Shelby Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH231320-00
Entity Address
72 SOUTH STATE STREET
SHELBY, MI 49455
Medicare Provider Number
231320
Participating Start Date
8/9/2010
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
MERCY HEALTH MUSKEGON PHARMACY
Pharmacy Address
HOSPITAL PHARMACY
1700 CLINTON STREET
MUSKEGON, MI 49442
Pharmacy Comments
8/20/2013 - pharmacy name and address correction, changed in error on 3/28/2013, see history for details.
Contract Details
Approval Date
10/20/2011
Contract Begin Date
4/1/2011
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
2/14/2011
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