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CH05203AA CHERRY STREET SERVICES, INC. (Active)
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Main Details
Name
CHERRY STREET SERVICES, INC.
Subdivision Name
Cherry Health Mobile Unit
Type
HRSA-Funded Health Center
Site ID
BPS-H80-032205
340B ID
CH05203AA
Grant Number
H80CS00770
Additional Details
Current Program Status
Active
Registration Date
7/13/2021
Participating Start Date
10/1/2021
Participating Approval Date
7/20/2021
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
2929 Burlingame Ave S.W.
Wyoming, MI 49509-2609
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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