340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WOODWARD DETROIT CVS, L.L.C.
CH05036AG Great Lakes Bay Health Centers
Print
Covered Entity Details
Entity Name
Great Lakes Bay Health Centers
Subdivision Name
Great Lakes Bay Health Centers Women's Care West Branch
Type
HRSA-Funded Health Center
340B ID
CH05036AG
Entity Address
2110 S M 76
Ste 9
West Branch, MI 48661
Grant Number
H80CS00689
Participating Start Date
7/1/2015
Last Recertification Date
2/16/2024
Entity Termination Date
4/1/2024
Pharmacy Details
Pharmacy Name
WOODWARD DETROIT CVS, L.L.C.
Pharmacy Address
DBA CVS/PHARMACY # 10626
101 N. EUCLID AVE
BAY CITY, MI 48706
Pharmacy Comments
Contract Details
Approval Date
10/13/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2024
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Amy Colleen Evans, CFO
(989) 759-6438
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/13/2023
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