340B Drug Pricing Program Database
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CH05203AB CHERRY STREET SERVICES, INC. (Active)
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Main Details
Name
CHERRY STREET SERVICES, INC.
Subdivision Name
Southside Health Center Suite 200
Type
HRSA-Funded Health Center
Site ID
BPS-H80-032802
340B ID
CH05203AB
Grant Number
H80CS00770
Additional Details
Current Program Status
Active
Registration Date
10/4/2021
Participating Start Date
1/1/2022
Participating Approval Date
10/5/2021
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
2303 Kalamazoo Ave SE Ste 200
Grand Rapids, MI 49507-3780
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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