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MEIJER INC #213
CH05036C Great Lakes Bay Health Centers
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Covered Entity Details
Entity Name
Great Lakes Bay Health Centers
Subdivision Name
Great Lakes Bay Health Centers Janes Street
Type
HRSA-Funded Health Center
340B ID
CH05036C
Entity Address
1522 Janes St
Saginaw, MI 48601
Grant Number
H80CS00689
Participating Start Date
4/1/1999
Last Recertification Date
2/27/2025
Pharmacy Details
Pharmacy Name
MEIJER INC #213
Pharmacy Address
9515 BIRCH RUN ROAD
BIRCH RUN, MI 48415-9613
Pharmacy Comments
Contract Details
Approval Date
10/11/2017
Contract Begin Date
1/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Brenda Marie Coughlin, President/CEO
(989) 759-6467
Contract Pharmacy Representative
Meijer
Kevin Hurn, Dir, Pharmacy Procurement and New Business
(616) 791-5185
Signed By Date
10/11/2017
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