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MEMPHIS DRUGS
CH05220AE DOWNRIVER COMMUNITY SERVICES INC
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Covered Entity Details
Entity Name
DOWNRIVER COMMUNITY SERVICES INC
Subdivision Name
DCS NEW HAVEN COMMUNITY SERVICES
Type
HRSA-Funded Health Center
340B ID
CH05220AE
Entity Address
58144 GRATIOT AVE
NEW HAVEN, MI 48048
Grant Number
H80CS00497
Participating Start Date
7/1/2006
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
MEMPHIS DRUGS
Pharmacy Address
80850 MAIN ST
MEMPHIS, MI 48041-4907
Pharmacy Comments
Contract Details
Approval Date
3/1/2009
Contract Begin Date
3/1/2009
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
2/20/2009
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