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OSSINEKE PHARMACY
CH05198AB ALCONA CITIZENS FOR HEALTH, INC.
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Covered Entity Details
Entity Name
ALCONA CITIZENS FOR HEALTH, INC.
Subdivision Name
AHC TIGER HEALTH EXTENSION
Type
HRSA-Funded Health Center
340B ID
CH05198AB
Entity Address
181 N. BARLOW RD
HARRISVILLE, MI 48740
Grant Number
H80CS00679
Participating Start Date
7/1/2006
Last Recertification Date
2/20/2025
Pharmacy Details
Pharmacy Name
OSSINEKE PHARMACY
Pharmacy Address
11745 US 23 SOUTH
OSSINEKE, MI 49766-0155
Pharmacy Comments
Contract Details
Approval Date
8/22/2006
Contract Begin Date
8/22/2006
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/8/2021
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
7/18/2006
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