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NEWBERRY HOMETOWN PHARMACY
CAH231304-00 HELEN NEWBERRY JOY HOSPITAL
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Covered Entity Details
Entity Name
HELEN NEWBERRY JOY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH231304-00
Entity Address
502 W HARRIE ST.
NEWBERRY, MI 49868
Medicare Provider Number
231304
Participating Start Date
1/1/2011
Last Recertification Date
8/20/2024
Pharmacy Details
Pharmacy Name
NEWBERRY HOMETOWN PHARMACY
Pharmacy Address
7344 STATE HIGHWAY M123
NEWBERRY, MI 49868-1955
Pharmacy Comments
Contract Details
Approval Date
11/7/2012
Contract Begin Date
11/7/2012
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/8/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
MARY LALONDE, CONTROLLER
(906) 293-9164
Contract Pharmacy Representative
Dave DeMerse, Owner
(906) 293-9900
Signed By Date
9/10/2012
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