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MUNSON HOSPITAL PHARMACY
CAH231301-00 KALKASKA MEMORIAL HEALTH CENTER
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Covered Entity Details
Entity Name
KALKASKA MEMORIAL HEALTH CENTER
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH231301-00
Entity Address
419 S. CORAL ST.
KALKASKA, MI 49646
Medicare Provider Number
231301
Participating Start Date
8/31/2010
Last Recertification Date
8/21/2024
Pharmacy Details
Pharmacy Name
MUNSON HOSPITAL PHARMACY
Pharmacy Address
1105 SIXTH ST
TRAVERSE CITY, MI 49684
Pharmacy Comments
Contract Details
Approval Date
10/18/2012
Contract Begin Date
10/18/2012
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
SHEILA ATWOOD, administrative Director Patient Care Services
(231) 258-7505
Contract Pharmacy Representative
Edwin Ness, President and CEO
(231) 935-6910
Signed By Date
9/20/2012
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