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WAL-MART PHARMACY 10-3632
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
WAL-MART PHARMACY 10-3632
Pharmacy Address
655 WEST SANILAC ROAD
SANDUSKY, MI 48471
Pharmacy Comments
Contract Details
Approval Date
7/1/2014
Contract Begin Date
10/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/30/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Jean Anthony, CEO
(989) 912-6328
Contract Pharmacy Representative
Wal-Mart
Marcus Osborne, V.P. Health & Wellness, Sales & Contracting
(479) 204-9374
Signed By Date
7/1/2014
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