340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
NILES WELLCARE PHARMACY
CHC08752-00 LAKELAND IMMEDIATE CARE CENTER
Print
Covered Entity Details
Entity Name
LAKELAND IMMEDIATE CARE CENTER
Subdivision Name
DBA CASS FAMILY CLINIC
Type
HRSA-Funded Health Center
340B ID
CHC08752-00
Entity Address
261 M-62
Cassopolis, MI 49031-1034
Grant Number
H80CS08752
Participating Start Date
4/1/2010
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
NILES WELLCARE PHARMACY
Pharmacy Address
70 E MAIN ST
NILES, MI 49120
Pharmacy Comments
Contract Details
Approval Date
7/9/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Joseph Gavan, Chief Executive Officer
(269) 445-3874
Contract Pharmacy Representative
Niles WellCare
Sandipkumar Patel, Owner
(269) 262-4343
Signed By Date
7/9/2024
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