Contract Pharmacy Details

FAMILY FARE PHARMACY #1972
CH056430 Grace Health, Inc.

Covered Entity Details

Entity Name

Grace Health, Inc.

Subdivision Name

Grace Health, Inc.

Type

HRSA-Funded Health Center

340B ID

CH056430

Entity Address

181 Emmett St W
Battle Creek, MI 49037-2963

Grant Number

H80CS00586

Participating Start Date

7/1/1998

Last Recertification Date

2/10/2025

Pharmacy Details

Pharmacy Name

FAMILY FARE PHARMACY #1972

Pharmacy Address

1525 W MICHIGAN AVE
BATTLE CREEK, MI 49037

Pharmacy Comments

Contract Details

Approval Date

10/7/2016

Contract Begin Date

1/1/2017

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

1/1/2017
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

A. J. JONES, CEO
(269) 966-2600 Ext: 1710

Contract Pharmacy Representative

SpartanNash
Eddie Garcia, Director of Pharmacy
(616) 878-2975

Signed By Date

10/7/2016

340B Drug Pricing Program Database