340B Drug Pricing Program Database
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CH05203A CHERRY STREET SERVICES, INC. (Active)
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Main Details
Name
CHERRY STREET SERVICES, INC.
Subdivision Name
WESTSIDE HEALTH CENTER
Type
HRSA-Funded Health Center
Site ID
BPS-H80-000152
340B ID
CH05203A
Grant Number
H80CS00770
Additional Details
Current Program Status
Active
Registration Date
7/1/2002
Participating Start Date
7/1/2002
Participating Approval Date
7/1/2002
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
669 STOCKING AVE NW
GRAND RAPIDS, MI 49504
Billing Address
CHERRY STREET SEVICES, 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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2/16/12-CHANGED BILLING ADDRESS-WAS 669 STOCKING NW.
02/16/2012
April 2025
April 2025
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