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R & R PRESCRIPTION SERVICES
FQHC638421 LITTLE TRAVERSE BAY BANDS OF ODAWA INDIANS
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Covered Entity Details
Entity Name
LITTLE TRAVERSE BAY BANDS OF ODAWA INDIANS
Subdivision Name
LITTLE TRAVERSE BAY BANDS HEALTH DEPARTMENT
Type
Tribal Contract/Compact with IHS (P.L. 93-638)
340B ID
FQHC638421
Entity Address
1260 Ajijaak Avenue
PETOSKEY, MI 49770
Grant Number
Participating Start Date
10/1/1999
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
R & R PRESCRIPTION SERVICES
Pharmacy Address
560 W MITCHELL STREET
SUITE 200
PETOSKEY, MI 49770
Pharmacy Comments
Contract Details
Approval Date
12/17/2004
Contract Begin Date
12/17/2004
Carve-In Effective Date
Contract Comments
9/26/06 - CORRECTED PHARMACY NAME (WAS PRESCRIPTION SERVICES)
Contract Termination Date
Termination Reason
2/1/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
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