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CAREPOINT HEALTHCARE
STD48103 Planned Parenthood of Michigan
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Covered Entity Details
Entity Name
Planned Parenthood of Michigan
Subdivision Name
Ann Arbor West Health Center
Type
Sexually Transmitted Diseases
340B ID
STD48103
Entity Address
2370 W Stadium Blvd
Ann Arbor, MI 48103
Grant Number
NH25PS005170
Participating Start Date
4/1/2018
Last Recertification Date
5/24/2024
Entity Termination Date
7/1/2025
Pharmacy Details
Pharmacy Name
CAREPOINT HEALTHCARE
Pharmacy Address
DBA CAREPOINT PHARMACY
9 COMMERCE DR.
SCHAUMBURG, IL 60173
Pharmacy Comments
Contract Details
Approval Date
7/5/2022
Contract Begin Date
10/1/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2025
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Denise Thal, EVP & CFO
(734) 926-4828
Contract Pharmacy Representative
Carepoint Healthcare
Pritesh Patel, Chief Operating Officer
(855) 237-9112
Signed By Date
7/5/2022
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