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WOODWARD DETROIT CVS, L.L.C.
CH05039C 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
CH05039C
Entity Address
6051 Frankfort Hwy
Benzonia, MI 49616-9558
Grant Number
H80CS00669
Participating Start Date
4/1/2016
Last Recertification Date
2/28/2025
Pharmacy Details
Pharmacy Name
WOODWARD DETROIT CVS, L.L.C.
Pharmacy Address
DBA CVS/PHARMACY # 6843
626 WEST FRONT ST.
TRAVERSE CITY, MI 49684
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
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
4/10/2025
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