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DIPLOMAT SPECIALTY PHARMACY
CAH231331-00 SPARROW IONIA HOSPITAL
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Covered Entity Details
Entity Name
SPARROW IONIA HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH231331-00
Entity Address
3565 S. State Rd
IONIA, MI 48846
Medicare Provider Number
231331
Participating Start Date
10/1/2010
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
DIPLOMAT SPECIALTY PHARMACY
Pharmacy Address
G3320 BEECHER RD
FLINT, MI 48532-3614
Pharmacy Comments
Contract Details
Approval Date
1/26/2016
Contract Begin Date
4/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
8/1/2017
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
WILLIAM ROESER, PRESIDENT AND CHIEF EXECUTIVE OFFICER
(616) 523-1712
Contract Pharmacy Representative
Teri Johnson, Manager
(810) 732-2580
Signed By Date
1/26/2016
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