Contract Pharmacy Details

OSSINEKE PHARMACY
CH05198D ALCONA CITIZENS FOR HEALTH, INC.

Covered Entity Details

Entity Name

ALCONA CITIZENS FOR HEALTH, INC.

Subdivision Name

ALCONA HLTH CTRS - OSCODA SVCS

Type

HRSA-Funded Health Center

340B ID

CH05198D

Entity Address

5671 N Skeel Ave Ste 8
Oscoda, MI 48750-1535

Grant Number

H80CS00679

Participating Start Date

1/1/2002

Last Recertification Date

2/9/2022

Entity Termination Date

1/1/2023

Pharmacy Details

Pharmacy Name

OSSINEKE PHARMACY

Pharmacy Address

11745 US 23 SOUTH
OSSINEKE, MI 49766-0155

Pharmacy Comments

Contract Details

Approval Date

1/6/2005

Contract Begin Date

1/6/2005

Carve-In Effective Date

Contract Comments

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

340B Drug Pricing Program Database