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NEWBERRY HOMETOWN PHARMACY
CAH231303-00 SCHOOLCRAFT MEMORIAL HOSPITAL
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Covered Entity Details
Entity Name
SCHOOLCRAFT MEMORIAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH231303-00
Entity Address
7870W US Highway 2
MANISTIQUE, MI 49854-8992
Medicare Provider Number
231303
Participating Start Date
7/1/2011
Last Recertification Date
8/23/2024
Pharmacy Details
Pharmacy Name
NEWBERRY HOMETOWN PHARMACY
Pharmacy Address
7344 STATE HIGHWAY M123
NEWBERRY, MI 49868-1955
Pharmacy Comments
Contract Details
Approval Date
4/23/2014
Contract Begin Date
7/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/29/2016
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Tanya Hoar, CEO
(906) 341-3221
Contract Pharmacy Representative
Dave Demerse, Owner
(906) 293-9900
Signed By Date
4/23/2014
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