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SHOPKO PHARMACY 606
CAH231319-00 ASPIRUS KEWEENAW HOSPITAL
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Covered Entity Details
Entity Name
ASPIRUS KEWEENAW HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH231319-00
Entity Address
205 OSCEOLA STREET
LAURIUM, MI 49913
Medicare Provider Number
231319
Participating Start Date
1/1/2011
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
SHOPKO PHARMACY 606
Pharmacy Address
56835 NORTH STATION DRIVE
CALUMET, MI 49913
Pharmacy Comments
Contract Details
Approval Date
3/11/2013
Contract Begin Date
4/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/17/2019
Pharmacy closed
Contacts
Covered Entity Signing Official
SHANE JACQUES, Chief Financial Officer
(906) 337-6500
Contract Pharmacy Representative
Shopko
Tad Schilke, Director of Rx Merchandising & Marketing
(920) 429-7628
Signed By Date
1/15/2013
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