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AFFILIATED HEALTH SERVICES, INC.
CH053752C COVENANT COMMUNITY CARE, INC.
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Covered Entity Details
Entity Name
COVENANT COMMUNITY CARE, INC.
Subdivision Name
Covenant Moross Health Center
Type
HRSA-Funded Health Center
340B ID
CH053752C
Entity Address
20901 Moross Road
Detroit, MI 48236-2058
Grant Number
H80CS08738
Participating Start Date
4/1/2013
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
AFFILIATED HEALTH SERVICES, INC.
Pharmacy Address
DBA ASCENSION RX 1314
22101 MOROSS RD STE G1502
DETROIT, MI 48236-2148
Pharmacy Comments
Contract Details
Approval Date
7/15/2014
Contract Begin Date
10/1/2014
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 Propson, CEO
(313) 228-0216
Contract Pharmacy Representative
Kenneth Woods, Manager, Retail Pharmacy
(586) 228-4574
Signed By Date
7/15/2014
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