340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
PENINSULA PHARMACY PLUS
CHC26511-01 UPPER GREAT LAKES FAMILY HEALTH CENTER
Print
Covered Entity Details
Entity Name
UPPER GREAT LAKES FAMILY HEALTH CENTER
Subdivision Name
Hancock Family Health Center
Type
HRSA-Funded Health Center
340B ID
CHC26511-01
Entity Address
500 Campus Dr.
STE 2-3-5
HANCOCK, MI 49930
Grant Number
H80CS26511
Participating Start Date
4/1/2014
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
PENINSULA PHARMACY PLUS
Pharmacy Address
PENINSULA PHAMRACY PLUS
300 N. MCCLELLAN AVE
MARQUETTE, MI 49855
Pharmacy Comments
Contract Details
Approval Date
10/15/2020
Contract Begin Date
1/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
2/17/2023
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Donald A. Simila, CEO
(906) 481-8571
Contract Pharmacy Representative
Peninsula Pharmacy, Inc
Tyler Jenema, Owner
(906) 225-3902
Signed By Date
10/15/2020
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