340B Drug Pricing Program Database
MEIJER INC #232
CAH231338-00 Corewell Health Gerber Hospital - information as of 6/16/2025 11:47:20 PM
Covered Entity Details
Entity Name
Corewell Health Gerber Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH231338-00
Entity Address
212 S. Sullivan Ave.
FREMONT, MI 49412
Medicare Provider Number
231338
Participating Start Date
4/1/2015
Last Recertification Date
8/23/2024
Pharmacy Details
Pharmacy Name
MEIJER INC #232
Pharmacy Address
5300 S HARVEY ST
MUSKEGON, MI 49444-9767
Pharmacy Comments
Contract Details
Approval Date
3/24/2015
Contract Begin Date
4/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/1/2021
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Kevin Nichols, VP, Finance
(231) 924-1347
Contract Pharmacy Representative
Meijer
Jeff Romano, Hospital Programs
(616) 791-3171
Signed By Date
3/24/2015
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