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MUSKEGON FAMILY CARE PHARMACY
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
MUSKEGON FAMILY CARE PHARMACY
Pharmacy Address
2201 S GETTY STREET
MUSKEGON HEIGHTS, MI 49444
Pharmacy Comments
Contract Details
Approval Date
10/5/2005
Contract Begin Date
10/5/2005
Carve-In Effective Date
Contract Comments
INHOUSE PHARMACY FOR ORGANIZATION
Contract Termination Date
Termination Reason
9/25/2017
Agreement registered in error
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
10/5/2005
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