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MODERN MEDICAL SERVICE, INC.
CH05198H ALCONA CITIZENS FOR HEALTH, INC.
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Covered Entity Details
Entity Name
ALCONA CITIZENS FOR HEALTH, INC.
Subdivision Name
Alcona Health Center Pickford Medical Clinic
Type
HRSA-Funded Health Center
340B ID
CH05198H
Entity Address
416 N M 129
Pickford, MI 49774
Grant Number
H80CS00679
Participating Start Date
1/1/2016
Last Recertification Date
2/20/2025
Pharmacy Details
Pharmacy Name
MODERN MEDICAL SERVICE, INC.
Pharmacy Address
DBA MODERN PHARMACY
127 N MAIN ST
PO BOX 345
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
Modern Medical Services, Inc.
Travis Woiderski, General Manager
(231) 627-9949
Signed By Date
4/10/2024
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