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HARBOR TOWN PHARMACY, INC.
CAH231309-00 ASPIRUS ONTONAGON HOSPITAL
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Covered Entity Details
Entity Name
ASPIRUS ONTONAGON HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH231309-00
Entity Address
601 S. SEVENTH STREET
ONTONAGON, MI 49953
Medicare Provider Number
231309
Participating Start Date
1/1/2011
Last Recertification Date
8/24/2023
Entity Termination Date
7/1/2024
Pharmacy Details
Pharmacy Name
HARBOR TOWN PHARMACY, INC.
Pharmacy Address
850 GREENLAND RD
ONTONAGON, MI 49953-1452
Pharmacy Comments
Contract Details
Approval Date
11/7/2011
Contract Begin Date
11/7/2011
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/31/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Deanna Wilson, Vice President of Patient Care Services
(906) 884-8000
Contract Pharmacy Representative
James Brogan, President
(906) 884-4229
Signed By Date
11/1/2011
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