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WAL-MART PHARMACY 10-4383
CH05188I DETROIT HEALTH CARE FOR THE HOMELESS
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Covered Entity Details
Entity Name
DETROIT HEALTH CARE FOR THE HOMELESS
Subdivision Name
Advantage Health Centers-McNichols
Type
HRSA-Funded Health Center
340B ID
CH05188I
Entity Address
15400 W. McNichols St
Detroit, MI 48235-3724
Grant Number
H80CS00033
Participating Start Date
1/1/2005
Last Recertification Date
2/17/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-4383
Pharmacy Address
5851 MERCURY DRIVE
DEARBORN, MI 48126
Pharmacy Comments
Contract Details
Approval Date
10/14/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Nina Abubakari, Executive Director
(313) 416-6259
Contract Pharmacy Representative
Detroit Health Care for the Homeless
Nuha Rukieh, Pharmacist in Charge
(313) 462-6250
Signed By Date
10/14/2023
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