340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
MUNSON SERVICES INC
FQHC638527 Grand Traverse Band of Ottawa and Chiippewa Indians
Print
Covered Entity Details
Entity Name
Grand Traverse Band of Ottawa and Chiippewa Indians
Subdivision Name
Grand Traverse Band Family Health Clinic
Type
Tribal Contract/Compact with IHS (P.L. 93-638)
340B ID
FQHC638527
Entity Address
2300 N Stallman Rd
Peshawbestown, MI 49682
Grant Number
Participating Start Date
10/1/2012
Last Recertification Date
2/19/2025
Pharmacy Details
Pharmacy Name
MUNSON SERVICES INC
Pharmacy Address
93 W FOURTH ST STE A
DBA BAY SHORE PHARMACY
SUTTONS BAY, MI 49682-8408
Pharmacy Comments
Contract Details
Approval Date
2/21/2013
Contract Begin Date
4/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
2/20/2025
Ownership change
Contacts
Covered Entity Signing Official
Loi Chambers, Assistant Health Administrator
(231) 534-7477
Contract Pharmacy Representative
Munson Medical Center Thomas Judd
Chris Podges, Chief Information Officer
(231) 935-6548
Signed By Date
1/15/2013
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