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WATKINS PHARMACY & SURGICAL SUPPLY
CH0516820 M.G.H. FAMILY HEALTH CENTER
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Covered Entity Details
Entity Name
M.G.H. FAMILY HEALTH CENTER
Subdivision Name
MUSKEGON FAMILY CARE
Type
HRSA-Funded Health Center
340B ID
CH0516820
Entity Address
2201 S Getty St
Muskegon, MI 49444-1207
Grant Number
H80CS00865
Participating Start Date
1/1/2002
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WATKINS PHARMACY & SURGICAL SUPPLY
Pharmacy Address
1391 E SHERMAN BLVD
MUSKEGON, MI 49444
Pharmacy Comments
Contract Details
Approval Date
4/15/2020
Contract Begin Date
7/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/1/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Daniel Oglesby, CEO
(231) 739-9315 Ext: 1151
Contract Pharmacy Representative
WATKINS PHARMACY & SURGICAL SUPPLY
DARREN MILLER, OWNER
(231) 739-7158
Signed By Date
4/15/2020
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