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WAL-MART PHARMACY 10-2100
CH05198AP Alcona Citizens For Health, Inc.
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Covered Entity Details
Entity Name
Alcona Citizens For Health, Inc.
Subdivision Name
Alcona Health Center Cheboygan Campus
Type
HRSA-Funded Health Center
340B ID
CH05198AP
Entity Address
740 S Main St Fl 2
Cheboygan, MI 49721
Grant Number
H80CS00679
Participating Start Date
1/1/2021
Last Recertification Date
2/20/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-2100
Pharmacy Address
1150 SOUTH MAIN
CHEBOYGAN, MI 49721
Pharmacy Comments
Contract Details
Approval Date
4/10/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Nancy Spencer, CEO
(989) 358-3916
Contract Pharmacy Representative
Healdsburg District Hospital
Kathi Phelps, Manager Contracting
(479) 277-3719
Signed By Date
4/10/2024
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