340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WOODWARD DETROIT CVS, L.L.C.
CH05203P CHERRY STREET SERVICES, INC.
Print
Covered Entity Details
Entity Name
CHERRY STREET SERVICES, INC.
Subdivision Name
Southside Health Center
Type
HRSA-Funded Health Center
340B ID
CH05203P
Entity Address
2303 Kalamazoo Ave SE
Grand Rapids, MI 49507-3780
Grant Number
H80CS00770
Participating Start Date
4/1/2013
Last Recertification Date
2/24/2025
Pharmacy Details
Pharmacy Name
WOODWARD DETROIT CVS, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 08293
1550 LAKE DR. SE
GRAND RAPIDS, MI 49506
Pharmacy Comments
Contract Details
Approval Date
10/14/2024
Contract Begin Date
1/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Tasha Blackmon, CEO
(616) 965-8215
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/14/2024
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session