Contract Pharmacy Details

FAMILY HEALTH CENTER PHARMACY SOUTH
CH05623B FAMILY HEALTH CENTER, INC.

Covered Entity Details

Entity Name

FAMILY HEALTH CENTER, INC.

Subdivision Name

Type

HRSA-Funded Health Center

340B ID

CH05623B

Entity Address

325 E Centre Ave
Portage, MI 49002-5512

Grant Number

H80CS00336

Participating Start Date

4/1/2005

Last Recertification Date

2/6/2019

Entity Termination Date

7/1/2019

Pharmacy Details

Pharmacy Name

FAMILY HEALTH CENTER PHARMACY SOUTH

Pharmacy Address

505 E ALCOTT ST
KALAMAZOO, MI 49001-6144

Pharmacy Comments

Contract Details

Approval Date

4/1/2005

Contract Begin Date

4/1/2005

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

7/1/2019
Covered Entity Terminated

Contacts

Covered Entity Signing Official

Contract Pharmacy Representative

Signed By Date

340B Drug Pricing Program Database