340B Drug Pricing Program Database

Pharmacy Name

MEIJER PHARMACY #464

Pharmacy Address

41255 COCA COLA DR.
BELLEVILLE, MI 48111-1827

Pharmacy Comments

Approval Date

7/18/2017

Contract Begin Date

10/1/2017

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

WILLIAM ROESER, PRESIDENT AND CHIEF EXECUTIVE OFFICER
(616) 523-1712

Contract Pharmacy Representative

Meijer
Kevin Hurn, Dir, Pharmacy Procurement and New Business
(616) 791-5185

Signed By Date

7/18/2017