340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
MEIJER STORES LIMITED PARTNERSHIP
CAH231301-00 KALKASKA MEMORIAL HEALTH CENTER
Print
Covered Entity Details
Entity Name
KALKASKA MEMORIAL HEALTH CENTER
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH231301-00
Entity Address
419 S. CORAL ST.
KALKASKA, MI 49646
Medicare Provider Number
231301
Participating Start Date
8/31/2010
Last Recertification Date
8/21/2024
Pharmacy Details
Pharmacy Name
MEIJER STORES LIMITED PARTNERSHIP
Pharmacy Address
D/B/A MEIJER PHARMACY #463
1515 PROFIT DR.
FORT WAYNE, IN 46808
Pharmacy Comments
Contract Details
Approval Date
4/18/2017
Contract Begin Date
7/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Kevin Rogols, CEO
(231) 258-7501
Contract Pharmacy Representative
Meijer
Kevin Hurn, Dir, Pharmacy Procurement and New Business
(616) 791-5185
Signed By Date
4/18/2017
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