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OPTIMED SPECIALTY PHARMACY
RWII49008A Community AIDS Resource and Education Services of Southwest Michigan
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Covered Entity Details
Entity Name
Community AIDS Resource and Education Services of Southwest Michigan
Subdivision Name
Benton Harbor Location
Type
Ryan White Part B
340B ID
RWII49008A
Entity Address
185 East Main Street
Benton Harbor, MI 49022
Grant Number
X07HA00044
Participating Start Date
7/1/2018
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
OPTIMED SPECIALTY PHARMACY
Pharmacy Address
6480 TECHNOLOGY AVE STE A
KALAMAZOO, MI 49009
Pharmacy Comments
Contract Details
Approval Date
1/10/2024
Contract Begin Date
4/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Kelly A. Doyle, CEO
(269) 806-3970
Contract Pharmacy Representative
OptiMed Health Partners, Inc.
Matthew Sortland, Manager, Business Development
(269) 250-8013
Signed By Date
1/10/2024
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