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CRYSTAL FALLS PHARMACY
CAH231318-00 ASPIRUS IRON RIVER HOSPITAL & CLINICS
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Covered Entity Details
Entity Name
ASPIRUS IRON RIVER HOSPITAL & CLINICS
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH231318-00
Entity Address
1400 WEST ICE LAKE ROAD
IRON RIVER, MI 49935
Medicare Provider Number
231318
Participating Start Date
1/1/2011
Last Recertification Date
8/22/2024
Pharmacy Details
Pharmacy Name
CRYSTAL FALLS PHARMACY
Pharmacy Address
1363 US HIGHWAY 2
PO BOX 7
CRYSTAL FALLS, MI 49920
Pharmacy Comments
Contract Details
Approval Date
10/20/2011
Contract Begin Date
8/22/2011
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
GLENN DOBSON, CFO
(906) 265-0436
Contract Pharmacy Representative
Steve Roell, President
(906) 774-2841
Signed By Date
8/5/2011
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