Contract Pharmacy Details

WALGREEN CO
CH051840 TRINITY HEALTH CORPORATION

Covered Entity Details

Entity Name

TRINITY HEALTH CORPORATION

Subdivision Name

Type

HRSA-Funded Health Center

340B ID

CH051840

Entity Address

200 JEFFERSON STREET SOUTHEAST
GRAND RAPIDS, MI 49503

Grant Number

H80CS00031

Participating Start Date

10/1/2006

Last Recertification Date

2/18/2020

Entity Termination Date

10/1/2020

Pharmacy Details

Pharmacy Name

WALGREEN CO

Pharmacy Address

DBA: WALGREENS #10351
3596 ALPINE AVE NW
WALKER, MI 49544

Pharmacy Comments

Contract Details

Approval Date

7/21/2014

Contract Begin Date

10/1/2014

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

10/1/2020
Covered Entity Terminated

Contacts

Covered Entity Signing Official

Steve Eavenson, VP for Finance
(616) 685-4353

Contract Pharmacy Representative

Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663

Signed By Date

7/21/2014

340B Drug Pricing Program Database