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CARLETON DRUGS
CH05291A FAMILY MEDICAL CENTER OF MICHIGAN INC
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Covered Entity Details
Entity Name
FAMILY MEDICAL CENTER OF MICHIGAN INC
Subdivision Name
FAMILY MEDICAL CENTER
Type
HRSA-Funded Health Center
340B ID
CH05291A
Entity Address
130 Medical Center Dr
Carleton, MI 48117-9461
Grant Number
H80CS00390
Participating Start Date
4/1/2003
Last Recertification Date
3/6/2025
Pharmacy Details
Pharmacy Name
CARLETON DRUGS
Pharmacy Address
201 MEDICAL CENTER DRIVE
CARLETON, MI 48117
Pharmacy Comments
Contract Details
Approval Date
8/15/2005
Contract Begin Date
8/15/2005
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
ED LARKINS, CEO
(734) 847-3802 Ext: 1412
Contract Pharmacy Representative
RANDY OLEYNIK, OWNER
(734) 654-6252
Signed By Date
8/15/2005
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