340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
CENTRAL PHARMACY - MLK LLC
CH05183E INGHAM, COUNTY OF
Print
Covered Entity Details
Entity Name
INGHAM, COUNTY OF
Subdivision Name
Willow Community Health Center
Type
HRSA-Funded Health Center
340B ID
CH05183E
Entity Address
1115 S. Pennsylvania Ave
Lansing, MI 48912-1669
Grant Number
H80CS00030
Participating Start Date
7/1/2015
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
CENTRAL PHARMACY - MLK LLC
Pharmacy Address
3500 S MARTIN LUTHER KING JR BLVD
LANSING, MI 48910-0333
Pharmacy Comments
Contract Details
Approval Date
10/15/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Kris Drake, Executive Director/Deputy Health Officer
(517) 887-4361
Contract Pharmacy Representative
Allegan Pharmacy, LLC
Fadi Nuseibeh, Member
(313) 574-3434
Signed By Date
10/15/2023
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