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PGPA PHARMACY
CH050220 INTERCARE COMMUNITY HEALTH NETWORK
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Covered Entity Details
Entity Name
INTERCARE COMMUNITY HEALTH NETWORK
Subdivision Name
INTERCARE ADMINISTRATION
Type
HRSA-Funded Health Center
340B ID
CH050220
Entity Address
50 Industrial Park Rd
Bangor, MI 49013-1246
Grant Number
H80CS00771
Participating Start Date
7/1/1998
Last Recertification Date
2/17/2025
Pharmacy Details
Pharmacy Name
PGPA PHARMACY
Pharmacy Address
3544 MERIDIAN CROSSINGS
OKEMOS, MI 48864-6025
Pharmacy Comments
01/31/2013 addres line 1 update (was 3520 OKEMOS ROAD, SUITE 5)
Contract Details
Approval Date
10/13/2014
Contract Begin Date
1/1/2015
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
VELMA HENDERSHOTT, CEO
(269) 427-7937 Ext: 200
Contract Pharmacy Representative
Sue Arens, Director of Pharmacy
(517) 381-8665
Signed By Date
10/13/2014
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