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WHITE CROSS PHARMACY INC
CAH231333-00 ASPIRUS IRONWOOD HOSPITAL
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Covered Entity Details
Entity Name
ASPIRUS IRONWOOD HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH231333-00
Entity Address
N10561 GRAND VIEW LANE
IRONWOOD, MI 49938
Medicare Provider Number
231333
Participating Start Date
1/1/2011
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
WHITE CROSS PHARMACY INC
Pharmacy Address
314 SILVER ST
HURLEY, WI 54534-1254
Pharmacy Comments
Contract Details
Approval Date
8/29/2012
Contract Begin Date
8/29/2012
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Carol Goffnett, CEO
(906) 932-6215
Contract Pharmacy Representative
Park Pharmacy Inc
Mark Pechacek, President
(715) 762-3283
Signed By Date
8/17/2012
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