340B Drug Pricing Program Database

Pharmacy Name

MEIJER INC #250

Pharmacy Address

250 MEIJER DRIVE
GAYLORD, MI 49735

Pharmacy Comments

Approval Date

10/9/2016

Contract Begin Date

1/1/2017

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

THOMAS LEMON, CHIEF EXECUTIVE OFFICER
(989) 731-2215

Contract Pharmacy Representative

Meijer
Jeff Romano, Hospital Programs
(616) 791-3171

Signed By Date

10/9/2016