340B Drug Pricing Program Database

Pharmacy Name

MEIJER PHARMACY #310

Pharmacy Address

4665 S GREEN AVE
FREMONT, MI 49412

Pharmacy Comments

Approval Date

1/15/2020

Contract Begin Date

4/1/2020

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

John Sella, Senior Director, Finance
(616) 643-9168

Contract Pharmacy Representative

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

Signed By Date

1/15/2020