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SHOPKO PHARMACY #2646
CH05225C STERLING AREA HEALTH CENTER
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Covered Entity Details
Entity Name
STERLING AREA HEALTH CENTER
Subdivision Name
OGEMAW CLINIC OF STERLING AHC
Type
HRSA-Funded Health Center
340B ID
CH05225C
Entity Address
1827 Greenwood Rd
Prescott, MI 48756-8626
Grant Number
H80CS00756
Participating Start Date
1/1/2004
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
SHOPKO PHARMACY #2646
Pharmacy Address
3825 S HURON RD
STANDISH, MI 48658
Pharmacy Comments
Contract Details
Approval Date
4/10/2018
Contract Begin Date
7/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
5/9/2019
Pharmacy closed
Contacts
Covered Entity Signing Official
Heather Flues-Harrington, CFO
(989) 524-3753
Contract Pharmacy Representative
Shopko Pharmacy
Debi Danbury, 340B Program Manager
(920) 429-7613
Signed By Date
4/10/2018
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