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THE PHARMACY SHOPPE, INC.
DSH230021 LAKELAND REGIONAL HEALTH SYSTEM LAKELAND MEDICAL CENTER ST JOSEPH DBA COREWELL HEALTH LAKELAND HOSPITALS
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Covered Entity Details
Entity Name
LAKELAND REGIONAL HEALTH SYSTEM LAKELAND MEDICAL CENTER ST JOSEPH DBA COREWELL HEALTH LAKELAND HOSPITALS
Subdivision Name
LAKELAND HOSPITAL - ST JOSEPH
Type
Disproportionate Share Hospital
340B ID
DSH230021
Entity Address
1234 NAPIER AVENUE
ST JOSEPH, MI 49085
Medicare Provider Number
230021
Participating Start Date
10/1/2004
Last Recertification Date
8/20/2024
Pharmacy Details
Pharmacy Name
THE PHARMACY SHOPPE, INC.
Pharmacy Address
DBA COREWELL HEALTH RETAIL PHARMACY - ST
1234 NAPIER AVE STE B100
SAINT JOSEPH, MI 49085
Pharmacy Comments
Contract Details
Approval Date
10/4/2017
Contract Begin Date
1/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
TIM CALHOUN, CFO
(269) 983-8398
Contract Pharmacy Representative
Specrum Health Lakeland
Elizabeth Davenport, Pharmacy Manager
(269) 876-7255
Signed By Date
10/4/2017
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