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WAL-MART PHARMACY 10-1936
CH05198AN Alcona Citizens For Health, Inc.
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Covered Entity Details
Entity Name
Alcona Citizens For Health, Inc.
Subdivision Name
AHC Richardson Elementary School SBHC
Type
HRSA-Funded Health Center
340B ID
CH05198AN
Entity Address
3630 E River Rd Rm sw1
Oscoda, MI 48750
Grant Number
H80CS00679
Participating Start Date
10/1/2020
Last Recertification Date
2/19/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-1936
Pharmacy Address
3763 I-75 BUSINESS SPUR
SAULT SAINTE MARIE, MI 49783
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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