340B Drug Pricing Program Database

Pharmacy Name

MEIJER INC #105

Pharmacy Address

27255 TWENTY-THREE MILE
CHESTERFIELD, MI 48051-2023

Pharmacy Comments

Approval Date

11/10/2020

Contract Begin Date

12/1/2020

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Brian Balutanski, Regional CFO
(586) 493-3044

Contract Pharmacy Representative

Meijer
Katy Diaz, Pharmacy Business Associate
(616) 791-3127

Signed By Date

10/15/2020