340B Drug Pricing Program Database

Pharmacy Name

MEIJER STORES LIMITED PARTNERSHIP

Pharmacy Address

D/B/A MEIJER PHARMACY #463
1515 PROFIT DR.
FORT WAYNE, IN 46808

Pharmacy Comments

Approval Date

7/27/2021

Contract Begin Date

10/1/2021

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Tara Soules, Chief Financial Officer
(989) 772-6818

Contract Pharmacy Representative

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

Signed By Date

7/15/2021