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PHARMOR PHARMACY-DOCTORS
CHC26571-01 DETROIT CENTRAL CITY COMMUNITY MENTAL HEALTH, INCORPORATED
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Covered Entity Details
Entity Name
DETROIT CENTRAL CITY COMMUNITY MENTAL HEALTH, INCORPORATED
Subdivision Name
Detroit Central City Administrative Site
Type
HRSA-Funded Health Center
340B ID
CHC26571-01
Entity Address
10 Peterboro St
Detroit, MI 48201-2722
Grant Number
H80CS26571
Participating Start Date
10/1/2016
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
PHARMOR PHARMACY-DOCTORS
Pharmacy Address
3169 WOODWARD AVE
DETROIT, MI 48201-2723
Pharmacy Comments
Contract Details
Approval Date
4/15/2021
Contract Begin Date
4/23/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Kimberly Farrow, President and CEO
(313) 578-6123
Contract Pharmacy Representative
PharMor Pharmacy
Sammi Omar, Owner
(313) 832-4810
Signed By Date
4/15/2021
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