340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
FQHC638527 Grand Traverse Band of Ottawa and Chiippewa Indians (Active)
Print
Main Details
Name
Grand Traverse Band of Ottawa and Chiippewa Indians
Subdivision Name
Grand Traverse Band Family Health Clinic
Type
Tribal Contract/Compact with IHS (P.L. 93-638)
340B ID
FQHC638527
Additional Details
Current Program Status
Active
Registration Date
8/29/2012
Participating Start Date
10/1/2012
Participating Approval Date
9/27/2012
Last Recertification Date
2/19/2025
Contacts
Authorizing Official
GTB
SONYA ZOTIGH, Health Administrator
(231) 534-7241
Primary Contact
Grand Traverse Band of Ottawa and Chippewa Indians Pharmacy
Kimberly Jane Hines, Chief pharmacist
(231) 492-4996
Addresses
Street Address
2300 N Stallman Rd
Peshawbestown, MI 49682
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
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