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NEW MILLENNIUM DRUGS
CH0530900 WESTERN WAYNE FAMILY HEALTH CENTERS
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Covered Entity Details
Entity Name
WESTERN WAYNE FAMILY HEALTH CENTERS
Subdivision Name
Western Wayne Family Health Centers
Type
HRSA-Funded Health Center
340B ID
CH0530900
Entity Address
2700 Hamlin Dr,
INKSTER, MI 48141
Grant Number
H80CS06663
Participating Start Date
10/1/2006
Last Recertification Date
3/7/2025
Pharmacy Details
Pharmacy Name
NEW MILLENNIUM DRUGS
Pharmacy Address
30141 CHERRY HILL RD
INKSTER, MI 48141-4019
Pharmacy Comments
Contract Details
Approval Date
3/10/2008
Contract Begin Date
3/10/2008
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
5/21/2021
Pharmacy closed
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
3/7/2008
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