340B Drug Pricing Program Database

Pharmacy Name

MAIN STREET PHARMACY

Pharmacy Address

6541 PLAZA DR.
MARLETTE, MI 48453

Pharmacy Comments

Approval Date

1/17/2017

Contract Begin Date

4/1/2017

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

4/6/2018
Ownership change

Covered Entity Signing Official

James L. Singles, CFO
(989) 635-4230

Contract Pharmacy Representative

Marty Howard, Owner
(989) 635-7777

Signed By Date

1/17/2017