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WAL-MART PHARMACY 10-3328
CAH231312-00 SHERIDAN COMMUNITY HOSPITAL
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Covered Entity Details
Entity Name
SHERIDAN COMMUNITY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH231312-00
Entity Address
301 N MAIN STREET
SHERIDAN, MI 48884
Medicare Provider Number
231312
Participating Start Date
7/1/2017
Last Recertification Date
8/15/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-3328
Pharmacy Address
10772 WEST CARSON CITY ROAD
GREENVILLE, MI 48838
Pharmacy Comments
Contract Details
Approval Date
8/9/2017
Contract Begin Date
10/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Randolph K. Flechsig, CEO
(989) 291-6300
Contract Pharmacy Representative
Healdsburg District Hospital
Kathi Phelps, Manager Contracting
(479) 277-3719
Signed By Date
8/9/2017
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