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OSSINEKE PHARMACY
CH05198B ALCONA CITIZENS FOR HEALTH, INC.
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Covered Entity Details
Entity Name
ALCONA CITIZENS FOR HEALTH, INC.
Subdivision Name
ALCONA HLTH CTRS-OSSINEKE SVCS
Type
HRSA-Funded Health Center
340B ID
CH05198B
Entity Address
11745 Us Highway 23 S
Ossineke, MI 49766
Grant Number
H80CS00679
Participating Start Date
1/1/2002
Last Recertification Date
2/23/2025
Pharmacy Details
Pharmacy Name
OSSINEKE PHARMACY
Pharmacy Address
11745 US 23 SOUTH
OSSINEKE, MI 49766-0155
Pharmacy Comments
Contract Details
Approval Date
1/1/2002
Contract Begin Date
1/1/2002
Carve-In Effective Date
Contract Comments
12/14/2005 - CORRECTION IN CONTRACT BEGIN DATE, INCORRECTLY GIVEN CONTRACT BEGIN DATE OF 11/27/2001 ORIGINALLY
Contract Termination Date
Termination Reason
1/8/2021
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
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