340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WAL-MART PHARMACY 10-2692
CH052200 DOWNRIVER COMMUNITY SERVICES INC
Print
Covered Entity Details
Entity Name
DOWNRIVER COMMUNITY SERVICES INC
Subdivision Name
DOWNRIVER COMMUNITY SERVICES, INC.
Type
HRSA-Funded Health Center
340B ID
CH052200
Entity Address
555 St Clair River Dr
Algonac, MI 48001-1802
Grant Number
H80CS00497
Participating Start Date
10/1/2001
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-2692
Pharmacy Address
45400 MARKET PLACE BLVD.
CHESTERFIELD, MI 48051
Pharmacy Comments
Contract Details
Approval Date
7/15/2015
Contract Begin Date
10/1/2015
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Cynthia Roush, CEO
(586) 270-8055 Ext: 251
Contract Pharmacy Representative
Healdsburg District Hospital
Kathi Phelps, Manager Contracting
(479) 277-3719
Signed By Date
7/15/2015
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session