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PHARMOR PHARMACY-DOCTORS
CHC26571-00 DETROIT CENTRAL CITY COMMUNITY MENTAL HEALTH INC
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Covered Entity Details
Entity Name
DETROIT CENTRAL CITY COMMUNITY MENTAL HEALTH INC
Subdivision Name
Detroit Central City Health Center
Type
HRSA-Funded Health Center
340B ID
CHC26571-00
Entity Address
3427 Woodward Ave.
Detroit, MI 48201-2725
Grant Number
H80CS26571
Participating Start Date
7/1/2014
Last Recertification Date
2/13/2017
Entity Termination Date
4/1/2018
Pharmacy Details
Pharmacy Name
PHARMOR PHARMACY-DOCTORS
Pharmacy Address
3169 WOODWARD AVE
DETROIT, MI 48201-2723
Pharmacy Comments
Contract Details
Approval Date
7/7/2014
Contract Begin Date
10/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2018
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Irva Faber Bermudez, President and CEO
(313) 833-6275
Contract Pharmacy Representative
Sammi Omar, Managing Partner
(313) 832-4810
Signed By Date
7/7/2014
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