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CH05203Z CHERRY STREET SERVICES, INC. (Active)
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Main Details
Name
CHERRY STREET SERVICES, INC.
Subdivision Name
Lakeside Clubhouse
Type
HRSA-Funded Health Center
Site ID
BPS-H80-027242
340B ID
CH05203Z
Grant Number
H80CS00770
Additional Details
Current Program Status
Active
Registration Date
4/5/2019
Participating Start Date
7/1/2019
Participating Approval Date
4/12/2019
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
490 Century Ln
Holland, MI 49423-2220
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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May 2025
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