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NOVIXUS PHARMACY SERVICES
CH01085D COOS COUNTY FAMILY HEALTH SERVICES, INC.
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Covered Entity Details
Entity Name
COOS COUNTY FAMILY HEALTH SERVICES, INC.
Subdivision Name
COOS COUNTY FAMILY HEALTH SERVICES
Type
HRSA-Funded Health Center
340B ID
CH01085D
Entity Address
59 Page Hill Rd
Berlin, NH 03570-3531
Grant Number
H80CS00508
Participating Start Date
7/1/2004
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
NOVIXUS PHARMACY SERVICES
Pharmacy Address
43159 W 9 MILE RD.
NOVI, MI 48375-4117
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
10/13/2017
Agreement registered in error
Contacts
Covered Entity Signing Official
KEN GORDON, CEO
(603) 752-2040 Ext: 4018
Contract Pharmacy Representative
Novixus Pharmacy Services
Richard Grossman, Vice President of Pharmacy Services
(248) 380-2105
Signed By Date
10/13/2017
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