340B Drug Pricing Program Database

Pharmacy Name

MEIJER STORES LIMITED PARTNERSHIP

Pharmacy Address

D/B/A MEIJER PHARMACY #463
1515 PROFIT DR.
FORT WAYNE, IN 46808

Pharmacy Comments

Approval Date

1/7/2019

Contract Begin Date

4/1/2019

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

6/1/2024
Business decision by covered entity and/or pharmacy

Covered Entity Signing Official

James B. Falahee Jr., Sr. Vice President, Legal & Legislative Affairs
(269) 341-8907

Contract Pharmacy Representative

Meijer
Kevin Hurn, Dir, Pharmacy Procurement and New Business
(616) 791-5185

Signed By Date

1/7/2019