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OSSINEKE PHARMACY
CH051980 ALCONA CITIZENS FOR HEALTH, INC.
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Covered Entity Details
Entity Name
ALCONA CITIZENS FOR HEALTH, INC.
Subdivision Name
Alcona Health Center-Lincoln Services
Type
HRSA-Funded Health Center
340B ID
CH051980
Entity Address
177 N Barlow Rd
Harrisville, MI 48740
Grant Number
H80CS00679
Participating Start Date
1/1/2002
Last Recertification Date
2/19/2025
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
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
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