340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
CH05102L HACKLEY COMMUNITY CARE CENTER INC (Active)
Print
Main Details
Name
HACKLEY COMMUNITY CARE CENTER INC
Subdivision Name
Marquette Elementary School
Type
HRSA-Funded Health Center
Site ID
BPS-H80-015146
340B ID
CH05102L
Grant Number
H80CS00684
Additional Details
Current Program Status
Active
Registration Date
10/2/2024
Participating Start Date
1/1/2025
Participating Approval Date
10/4/2024
Last Recertification Date
2/12/2025
Contacts
Authorizing Official
Hackley Community Care Center
Valerie J Blondin, CFO
(231) 733-6657
Primary Contact
Hackley Community Care Center, Inc
Troy McLouth, Pharmacy Manager
(231) 733-6665
Addresses
Street Address
480 Bennett St
Muskegon, MI 49442-2133
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
History
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
No records to display.
April 2025
April 2025
week
S
M
T
W
T
F
S
14
30
31
1
2
3
4
5
15
6
7
8
9
10
11
12
16
13
14
15
16
17
18
19
17
20
21
22
23
24
25
26
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session