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TRINITY HEALTH PHARMACY - WEGE CENTER
CH05184B SAINT MARY'S HEALTH SERVICES
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Covered Entity Details
Entity Name
SAINT MARY'S HEALTH SERVICES
Subdivision Name
HEARTSIDE CLINIC
Type
HRSA-Funded Health Center
340B ID
CH05184B
Entity Address
359 DIVISION AVENUE S.W.
GRAND RAPIDS, MI 49503
Grant Number
H80CS00031
Participating Start Date
10/1/2006
Last Recertification Date
2/26/2019
Entity Termination Date
4/1/2020
Pharmacy Details
Pharmacy Name
TRINITY HEALTH PHARMACY - WEGE CENTER
Pharmacy Address
D/B/A TRINITY HEALTH PHARMACY - WEGE CEN
300 LAFAYETTE AVE SE
GRAND RAPIDS, MI 49503
Pharmacy Comments
Contract Details
Approval Date
10/1/2006
Contract Begin Date
10/1/2006
Carve-In Effective Date
Contract Comments
3/31/14 CE was terminated in error, CP termination cascaded from there
Contract Termination Date
Termination Reason
4/1/2020
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
DAVID RIDOUT, MANAGER
(999) 999-9999
Signed By Date
8/23/2006
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