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SKIDWAY PHARMACY LLC
CH052250 STERLING AREA HEALTH CENTER
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Covered Entity Details
Entity Name
STERLING AREA HEALTH CENTER
Subdivision Name
STERLING AREA HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH052250
Entity Address
725 E State St
Sterling, MI 48659-9548
Grant Number
H80CS00756
Participating Start Date
12/1/1992
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
SKIDWAY PHARMACY LLC
Pharmacy Address
1830 GREENWOOD RD
PRESCOTT, MI 48756
Pharmacy Comments
Contract Details
Approval Date
10/20/2020
Contract Begin Date
1/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Heather Flues-Harrington, CFO
(989) 524-3753
Contract Pharmacy Representative
Augres Pharmacy LLC.
Richard A. Spies Jr., Pharmacist
(989) 876-8899
Signed By Date
10/20/2020
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