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WALGREEN CO.
CAH231326-00 SPARROW CLINTON HOSPITAL
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Covered Entity Details
Entity Name
SPARROW CLINTON HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH231326-00
Entity Address
805 S. OAKLAND ST
ST. JOHNS, MI 48879
Medicare Provider Number
231326
Participating Start Date
9/22/2010
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 10251
1410 S US HWY 27
ST JOHNS, MI 48879-2432
Pharmacy Comments
Contract Details
Approval Date
7/16/2015
Contract Begin Date
10/1/2015
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
EDWARD BRUUN, PRESIDENT/CEO
(989) 224-6881
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/16/2015
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