340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
MEIJER DISTRIBUTION INC #90
DSH230096 STURGIS HOSPITAL
Print
Covered Entity Details
Entity Name
STURGIS HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH230096
Entity Address
916 MYRTLE AVENUE
STURGIS, MI 49091
Medicare Provider Number
230096
Participating Start Date
7/1/2011
Last Recertification Date
9/10/2018
Entity Termination Date
7/1/2019
Pharmacy Details
Pharmacy Name
MEIJER DISTRIBUTION INC #90
Pharmacy Address
2721 WALKER AVE NW
GRAND RAPIDS, MI 49544
Pharmacy Comments
Distribution Center
Contract Details
Approval Date
1/4/2017
Contract Begin Date
4/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2019
Covered Entity Terminated
Contacts
Covered Entity Signing Official
ROBERT J. LABARGE, CEO
(269) 659-4400
Contract Pharmacy Representative
Meijer
Jeff Romano, Hospital Programs
(616) 791-3171
Signed By Date
1/4/2017
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