340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
MEIJER STORES LIMITED PARTNERSHIP
CHC26511-12 UPPER GREAT LAKES FAMILY HEALTH CEN
Print
Covered Entity Details
Entity Name
UPPER GREAT LAKES FAMILY HEALTH CEN
Subdivision Name
Lake Linden-Hubbell Area School
Type
HRSA-Funded Health Center
340B ID
CHC26511-12
Entity Address
601 Calumet St
Lake Linden, MI 49945
Grant Number
H80CS26511
Participating Start Date
4/1/2023
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
MEIJER STORES LIMITED PARTNERSHIP
Pharmacy Address
D/B/A MEIJER PHARMACY #463
1515 PROFIT DR.
FORT WAYNE, IN 46808
Pharmacy Comments
Contract Details
Approval Date
2/22/2024
Contract Begin Date
4/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Donald A. Simila, CEO
(906) 481-8571
Contract Pharmacy Representative
Meijer
Kevin Hurn, Dir, Pharmacy Procurement and New Business
(616) 791-5185
Signed By Date
2/22/2024
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