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FAMILY FARE PHARMACY #647
CH05039D NORTHWEST MICHIGAN HEALTH SERVICES, INC
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Covered Entity Details
Entity Name
NORTHWEST MICHIGAN HEALTH SERVICES, INC
Subdivision Name
Northwest Michigan Health Services, Inc.
Type
HRSA-Funded Health Center
340B ID
CH05039D
Entity Address
148 W Parkdale Ave
Manistee, MI 49660-1128
Grant Number
H80CS00669
Participating Start Date
10/1/2017
Last Recertification Date
2/28/2025
Pharmacy Details
Pharmacy Name
FAMILY FARE PHARMACY #647
Pharmacy Address
1057 US 31 SOUTH
MANISTEE, MI 49660
Pharmacy Comments
Contract Details
Approval Date
4/10/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Heidi Britton, Chief Executive Officer
(231) 947-1112
Contract Pharmacy Representative
Prevos Family Markets, Inc., Family Fare, LLC
Kristina Rooney, Pharmacy Contract Admin
(616) 878-2761
Signed By Date
4/10/2025
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