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TRINITY HEALTH OAKLAND PHARMACY
DSH230029 TRINITY HEALTH OAKLAND HOSPITAL
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Covered Entity Details
Entity Name
TRINITY HEALTH OAKLAND HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH230029
Entity Address
44405 WOODWARD AVENUE
PONTIAC, MI 48341
Medicare Provider Number
230029
Participating Start Date
7/1/2022
Last Recertification Date
8/23/2024
Pharmacy Details
Pharmacy Name
TRINITY HEALTH OAKLAND PHARMACY
Pharmacy Address
44405 WOODWARD AVE
PONTIAC, MI 48341
Pharmacy Comments
Contract Details
Approval Date
10/13/2014
Contract Begin Date
1/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2019
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Michael Gusho, Regional Chief Financial Officer
(248) 858-6174
Contract Pharmacy Representative
Phillip Wein, Manager, Community Pharmacy Services
(248) 858-3053
Signed By Date
10/13/2014
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