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MEIJER INC #42
CH05036AM Great Lakes Bay Health Centers
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Covered Entity Details
Entity Name
Great Lakes Bay Health Centers
Subdivision Name
Great Lakes Bay Health Centers Mobile Dental 3
Type
HRSA-Funded Health Center
340B ID
CH05036AM
Entity Address
501 Lapeer
Saginaw, MI 48607
Grant Number
H80CS00689
Participating Start Date
7/1/2017
Last Recertification Date
2/27/2025
Pharmacy Details
Pharmacy Name
MEIJER INC #42
Pharmacy Address
8400 GRATIOT ROAD
SAGINAW, MI 48609
Pharmacy Comments
Contract Details
Approval Date
10/13/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Amy Colleen Evans, CFO
(989) 759-6438
Contract Pharmacy Representative
Meijer
Kevin Hurn, Dir, Pharmacy Procurement and New Business
(616) 791-5185
Signed By Date
10/13/2023
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