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MODERN MEDICAL SERVICES INC
CH051980 ALCONA CITIZENS FOR HEALTH, INC.
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Covered Entity Details
Entity Name
ALCONA CITIZENS FOR HEALTH, INC.
Subdivision Name
Alcona Health Center-Lincoln Services
Type
HRSA-Funded Health Center
340B ID
CH051980
Entity Address
177 N Barlow Rd
Harrisville, MI 48740
Grant Number
H80CS00679
Participating Start Date
1/1/2002
Last Recertification Date
2/19/2025
Pharmacy Details
Pharmacy Name
MODERN MEDICAL SERVICES INC
Pharmacy Address
DBA MODERN PHARMACY
127 N MAIN ST
P.O. BOX 345
CHEBOYGAN, MI 49721-1637
Pharmacy Comments
Contract Details
Approval Date
7/1/2022
Contract Begin Date
7/11/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/11/2022
Ownership change
Contacts
Covered Entity Signing Official
Nancy Spencer, CEO
(989) 358-3916
Contract Pharmacy Representative
Modern Medical Service, Inc. d/b/a Modern Pharmacy
Jacquelyn Woiderski, Pharmacy Owner
(231) 627-9949
Signed By Date
7/1/2022
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