340B Drug Pricing Program Database

Pharmacy Name

MK STORES INC DBA - SNYDERS DRUG #212

Pharmacy Address

56905 STATION DR
CALUMET, MI 49913-2903

Pharmacy Comments

Approval Date

10/15/2019

Contract Begin Date

1/1/2020

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

PAT TINCHER, Vice President-Finance, Regional Markets
(715) 847-2425

Contract Pharmacy Representative

MKStores
Mike Russell, Director of Pharmacy
(906) 485-5592

Signed By Date

10/15/2019