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EMPIRE PHARMACY
CAH231300-00 PAUL OLIVER MEMORIAL HOSPITAL
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Covered Entity Details
Entity Name
PAUL OLIVER MEMORIAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH231300-00
Entity Address
224 PARK AVENUE
FRANKFORT, MI 49635
Medicare Provider Number
231300
Participating Start Date
9/20/2010
Last Recertification Date
8/26/2024
Pharmacy Details
Pharmacy Name
EMPIRE PHARMACY
Pharmacy Address
9975 W. OTTAWA AVE
EMPIRE, MI 49630
Pharmacy Comments
Contract Details
Approval Date
7/7/2016
Contract Begin Date
10/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
2/20/2025
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
PETER MARINOFF, CHIEF OPERATING OFFICER
(231) 352-2259
Contract Pharmacy Representative
Munson Healthcare
Bruce Albert Ahlich, Coordinator-Affiliate/Ambulatory Pharmacy Services
(231) 935-7265
Signed By Date
7/7/2016
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