340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
PGPA PHARMACY
CH05022B INTERCARE COMMUNITY HEALTH NETWORK
Print
Covered Entity Details
Entity Name
INTERCARE COMMUNITY HEALTH NETWORK
Subdivision Name
INTERCARE EAU CLAIRE
Type
HRSA-Funded Health Center
340B ID
CH05022B
Entity Address
6270 WEST MAIN ST
EAU CLAIRE, MI 49111-9480
Grant Number
H80CS00771
Participating Start Date
7/1/1998
Last Recertification Date
2/17/2025
Pharmacy Details
Pharmacy Name
PGPA PHARMACY
Pharmacy Address
3544 MERIDIAN CROSSINGS
OKEMOS, MI 48864-6025
Pharmacy Comments
01/31/2013 addres line 1 update (was 3520 OKEMOS ROAD, SUITE 5)
Contract Details
Approval Date
3/8/2005
Contract Begin Date
3/8/2005
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2016
Agreement registered in error
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
3/8/2005
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