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FAMILY FARE PHARMACY #1979
CH056430 Grace Health, Inc.
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Covered Entity Details
Entity Name
Grace Health, Inc.
Subdivision Name
Grace Health, Inc.
Type
HRSA-Funded Health Center
340B ID
CH056430
Entity Address
181 Emmett St W
Battle Creek, MI 49037-2963
Grant Number
H80CS00586
Participating Start Date
7/1/1998
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
FAMILY FARE PHARMACY #1979
Pharmacy Address
1603 CAPITAL NE
BATTLE CREEK, MI 49017-1661
Pharmacy Comments
Contract Details
Approval Date
10/7/2016
Contract Begin Date
1/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2017
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
A. J. JONES, CEO
(269) 966-2600 Ext: 1710
Contract Pharmacy Representative
SpartanNash
Eddie Garcia, Director of Pharmacy
(616) 878-2975
Signed By Date
10/7/2016
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