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HOSPITAL DRIVE PHARMACY
CAH231316-00 Hills & Dales General Hospital, Inc
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Covered Entity Details
Entity Name
Hills & Dales General Hospital, Inc
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH231316-00
Entity Address
4675 Hill Street
Cass City, MI 48726
Medicare Provider Number
231316
Participating Start Date
7/1/2012
Last Recertification Date
8/26/2024
Pharmacy Details
Pharmacy Name
HOSPITAL DRIVE PHARMACY
Pharmacy Address
6190 HOSPITAL DR
CASS CITY, MI 48726-1072
Pharmacy Comments
Contract Details
Approval Date
4/8/2014
Contract Begin Date
7/1/2014
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jean Anthony, CEO
(989) 912-6328
Contract Pharmacy Representative
Hospital Drive Pharmacy
Aaron Barrigar, Director of Pharmacy
(989) 912-6061
Signed By Date
4/8/2014
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