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CENTRAL PHARMACY - MT. HOPE
RWII48910 Lansing Area AIDS Network
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Covered Entity Details
Entity Name
Lansing Area AIDS Network
Subdivision Name
Type
Ryan White Part B
340B ID
RWII48910
Entity Address
913 W. Holmes Rd., Suite 115
Lansing, MI 48910-0437
Grant Number
X07HA00044
Participating Start Date
10/1/2023
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
CENTRAL PHARMACY - MT. HOPE
Pharmacy Address
1001 E MOUNT HOPE AVE
LANSING, MI 48910
Pharmacy Comments
Contract Details
Approval Date
10/13/2017
Contract Begin Date
1/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2021
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Jacob A. Distel Jr., Executive Director
(517) 394-3719 Ext: 113
Contract Pharmacy Representative
Central Pharmacy-Mt. Hope, LLC
Michael Alan Salquist, Pharmacist/Owner
(517) 316-0711
Signed By Date
10/13/2017
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