340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
HARBOR TOWN PHARMACY, INC.
CHC26511-03 UPPER GREAT LAKES FAMILY HEALTH CENTER
Print
Covered Entity Details
Entity Name
UPPER GREAT LAKES FAMILY HEALTH CENTER
Subdivision Name
Ice Lake Family Health Center
Type
HRSA-Funded Health Center
340B ID
CHC26511-03
Entity Address
1500 W Ice Lake Rd
Iron River, MI 49935
Grant Number
H80CS26511
Participating Start Date
7/1/2014
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
HARBOR TOWN PHARMACY, INC.
Pharmacy Address
850 GREENLAND RD
ONTONAGON, MI 49953-1452
Pharmacy Comments
Contract Details
Approval Date
1/3/2020
Contract Begin Date
4/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Donald A. Simila, CEO
(906) 481-8571
Contract Pharmacy Representative
Harbor Town Pharmacy, Inc
Jim Brogan, Owner
(906) 884-4229
Signed By Date
1/3/2020
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