340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WOODWARD DETROIT CVS, L.L.C.
RRC230022-01 COMMUNITY HEALTH CENTER BRANCH CTY
Print
Covered Entity Details
Entity Name
COMMUNITY HEALTH CENTER BRANCH CTY
Subdivision Name
COMMUNITY HEALTH CENTER OF BRANCH / ONCOLOGY
Type
Rural Referral Center
340B ID
RRC230022-01
Entity Address
370 EAST CHICAGO STREET
COMMUNITY HEALTH CENTER ONCOLOGY
COLDWATER, MI 49036-2062
Medicare Provider Number
230022
Outpatient Facility Provider Number
Participating Start Date
7/1/2015
Last Recertification Date
11/9/2017
Entity Termination Date
4/1/2018
Pharmacy Details
Pharmacy Name
WOODWARD DETROIT CVS, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 08126
61 W. PEARL ST.
COLDWATER, MI 49036
Pharmacy Comments
Contract Details
Approval Date
7/7/2015
Contract Begin Date
10/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2018
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Amy Crouch, CFO
(517) 279-5396
Contract Pharmacy Representative
CVS Caremark
JACKLYN PARFITT, MANAGER, PAYER RELATIONS
(401) 770-6467
Signed By Date
7/7/2015
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session