340B Drug Pricing Program Database

Pharmacy Name

TRINITY HEALTH INFUSION PHARMACY CATHEDR

Pharmacy Address

360 DIVISION AVE S STE 1D
GRAND RAPIDS, MI 49503

Pharmacy Comments

6/17/2013 - Pharmacy name and address change error in 3/28/2013, see history for details.

Approval Date

4/14/2017

Contract Begin Date

7/1/2017

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Kristi Nagengast, Vice President of Finance
(231) 672-3802

Contract Pharmacy Representative

Saint Mary's Health Care
Terry Kent Kirkpatrick, Director of Pharmacy Services
(616) 685-6108

Signed By Date

4/14/2017