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MEIJER DISTRIBUTION INC #90
CHC08776-00 Valley Professionals Community Health Center, Inc.
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Covered Entity Details
Entity Name
Valley Professionals Community Health Center, Inc.
Subdivision Name
VPCHC - Clinton
Type
HRSA-Funded Health Center
340B ID
CHC08776-00
Entity Address
777 S Main St STE 100
Clinton, IN 47842
Grant Number
H80CS08776
Participating Start Date
4/1/2009
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
MEIJER DISTRIBUTION INC #90
Pharmacy Address
2721 WALKER AVE NW
GRAND RAPIDS, MI 49544
Pharmacy Comments
Distribution Center
Contract Details
Approval Date
10/8/2021
Contract Begin Date
1/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
TERRY J. WARREN JR., CEO
(765) 828-1003
Contract Pharmacy Representative
Meijer
Katy Diaz, Pharmacy Business Associate
(616) 791-3127
Signed By Date
10/8/2021
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