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PEQUOT PHARMACEUTICAL NETWORK
CH053752B COVENANT COMMUNITY CARE, INC.
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Covered Entity Details
Entity Name
COVENANT COMMUNITY CARE, INC.
Subdivision Name
Covenant Woodward Avenue
Type
HRSA-Funded Health Center
340B ID
CH053752B
Entity Address
27776 Woodward Ave
Royal Oak, MI 48067-0970
Grant Number
H80CS08738
Participating Start Date
10/1/2010
Last Recertification Date
2/7/2023
Entity Termination Date
4/1/2024
Pharmacy Details
Pharmacy Name
PEQUOT PHARMACEUTICAL NETWORK
Pharmacy Address
A DIV OF THE MASHANTUCKET
1 ANNIE GEORGE DR
PEQUOT TRIBE - PO BOX 3559
MASHANTUCKET, CT 06338
Pharmacy Comments
Contract Details
Approval Date
12/12/2011
Contract Begin Date
12/12/2011
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/20/2015
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Paul Proposon, Executive Director
(313) 554-0485
Contract Pharmacy Representative
William A. Millar II, Acting Director
(860) 396-2236
Signed By Date
12/7/2011
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