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WOODWARD DETROIT CVS, L.L.C.
CHC39465-06 CATHERINES HEALTH CENTER
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Covered Entity Details
Entity Name
CATHERINES HEALTH CENTER
Subdivision Name
Catherine's Health Center - Crossroads
Type
HRSA-Funded Health Center
340B ID
CHC39465-06
Entity Address
28 60th St SE
Grand Rapids, MI 49548-6802
Grant Number
H80CS39465
Participating Start Date
10/1/2024
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
WOODWARD DETROIT CVS, L.L.C.
Pharmacy Address
CVS PHARMACY # 17107
5120 28TH ST SE
GRAND RAPIDS, MI 49512
Pharmacy Comments
Contract Details
Approval Date
7/12/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Sara R Brooks, Director of Operations
(616) 336-8800
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
7/12/2024
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