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MEIJER STORES LIMITED PARTNERSHIP
CAH231323-00 Corewell Health Reed City Hospital
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Covered Entity Details
Entity Name
Corewell Health Reed City Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH231323-00
Entity Address
300 N PATTERSON RD
REED CITY, MI 49677
Medicare Provider Number
231323
Participating Start Date
9/24/2010
Last Recertification Date
8/23/2024
Pharmacy Details
Pharmacy Name
MEIJER STORES LIMITED PARTNERSHIP
Pharmacy Address
D/B/A MEIJER PHARMACY #463
1515 PROFIT DR.
FORT WAYNE, IN 46808
Pharmacy Comments
Contract Details
Approval Date
1/17/2013
Contract Begin Date
4/1/2013
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Tom Knoerl, Controller
(231) 592-4253
Contract Pharmacy Representative
Meijer
Kevin Hurn, Dir, Pharmacy Procurement and New Business
(616) 791-5185
Signed By Date
1/7/2013
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