340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
MEDPLEX PHARMACY
CH05036AW Great Lakes Bay Health Centers
Print
Covered Entity Details
Entity Name
Great Lakes Bay Health Centers
Subdivision Name
Great Lakes Bay Health Centers Bridgeport Spaulding High School
Type
HRSA-Funded Health Center
340B ID
CH05036AW
Entity Address
4691 Bearcat Blvd Fl 1
Bridgeport, MI 48722
Grant Number
H80CS00689
Participating Start Date
7/1/2020
Last Recertification Date
2/27/2025
Pharmacy Details
Pharmacy Name
MEDPLEX PHARMACY
Pharmacy Address
MEDPLEX PHARMACY LLC
6318 DIXIE HWY
BRIDGEPORT, MI 48722-9566
Pharmacy Comments
Contract Details
Approval Date
7/15/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Amy Colleen Evans, CFO
(989) 759-6438
Contract Pharmacy Representative
Medplex Pharmacy
Raghavendra Makam, Pharmacy Manager, AO, PIC
(989) 980-2646
Signed By Date
7/15/2024
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