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THE KROGER CO OF MICHIGAN 465
CH05036A 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 Imlay City
Type
HRSA-Funded Health Center
340B ID
CH05036A
Entity Address
6800 Newark Rd
Ste 200
Imlay City, MI 48444
Grant Number
H80CS00689
Participating Start Date
10/1/2006
Last Recertification Date
2/27/2025
Pharmacy Details
Pharmacy Name
THE KROGER CO OF MICHIGAN 465
Pharmacy Address
1821 SOUTH CEDAR
IMLAY CITY, MI 48444
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
Kroger
Anastasia Frey, Senior Manager, Payor Contracting
(513) 698-1875
Signed By Date
10/13/2023
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