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CH05203Y CHERRY STREET SERVICES, INC. (Active)
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Main Details
Name
CHERRY STREET SERVICES, INC.
Subdivision Name
Muskegon Recovery Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-018034
340B ID
CH05203Y
Grant Number
H80CS00770
Additional Details
Current Program Status
Active
Registration Date
3/7/2017
Participating Start Date
4/1/2017
Participating Approval Date
3/9/2017
Last Recertification Date
2/24/2025
Contacts
Authorizing Official
Cherry Street Services Inc
Tasha Blackmon, CEO
(616) 965-8215
Primary Contact
Cherry Street Services Inc
Brett Gingrich, Pharmacy Director
(616) 965-8278 Ext: 7139
Addresses
Street Address
1611 Oak Ave
Muskegon, MI 49442
Billing Address
Cherry Street Services, Inc
100 CHERRY STREET SE
GRAND RAPIDS, MI 49503
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
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