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WALGREEN CO.
CAH231338-00 Corewell Health Gerber Hospital
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Covered Entity Details
Entity Name
Corewell Health Gerber Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH231338-00
Entity Address
212 S. Sullivan Ave.
FREMONT, MI 49412
Medicare Provider Number
231338
Participating Start Date
4/1/2015
Last Recertification Date
8/23/2024
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS #12777
4365 LAKE MICHIGAN DR NW
WALKER, MI 49534
Pharmacy Comments
07/23/2012 changed city (was Grand Rapids)
Contract Details
Approval Date
3/25/2015
Contract Begin Date
4/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
2/25/2018
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Kevin Nichols, VP, Finance
(231) 924-1347
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
3/25/2015
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