Contract Pharmacy Details

VCARE PHARMACY #1
DSH230022 COMMUNITY HEALTH CENTER BRANCH CTY

Covered Entity Details

Entity Name

COMMUNITY HEALTH CENTER BRANCH CTY

Subdivision Name

Type

Disproportionate Share Hospital

340B ID

DSH230022

Entity Address

274 EAST CHICAGO STREET
COLDWATER, MI 49036

Medicare Provider Number

230022

Participating Start Date

4/1/2018

Last Recertification Date

8/30/2024

Pharmacy Details

Pharmacy Name

VCARE PHARMACY #1

Pharmacy Address

360 E CHICAGO ST STE 105
COLDWATER, MI 49036

Pharmacy Comments

Contract Details

Approval Date

4/15/2025

Contract Begin Date

7/1/2025

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

David Charles Hughes, Chief Pharmacy Officer
(401) 249-1963

Contract Pharmacy Representative

VCare Pharmacy
Lavan Odapally, Pharmacy Manager
(517) 924-1400

Signed By Date

4/15/2025

340B Drug Pricing Program Database