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FAMILY FARE PHARMACY #1580
CHC39465-01 CATHERINE'S HEALTH CENTER
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Covered Entity Details
Entity Name
CATHERINE'S HEALTH CENTER
Subdivision Name
Catherine's Health Center - Dental Clinic
Type
HRSA-Funded Health Center
340B ID
CHC39465-01
Entity Address
781 36th St SE
Suite B
Grand Rapids, MI 49548-2319
Grant Number
H80CS39465
Participating Start Date
1/31/2022
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
FAMILY FARE PHARMACY #1580
Pharmacy Address
2900 BURLINGAME AVE. SW
WYOMING, MI 49509
Pharmacy Comments
Contract Details
Approval Date
10/9/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Sara R Brooks, Director of Operations
(616) 336-8800
Contract Pharmacy Representative
SpartanNash
Eddie Garcia, Director of Pharmacy
(616) 878-2975
Signed By Date
10/9/2023
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