340B Drug Pricing Program Database

Pharmacy Name

BRONSON AT HOME INFUSION SERVICES

Pharmacy Address

601 JOHN ST # M-431
KALAMAZOO, MI 49007-5341

Pharmacy Comments

Approval Date

10/12/2017

Contract Begin Date

1/1/2018

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

12/31/2018
Business decision by covered entity and/or pharmacy

Covered Entity Signing Official

James B. Falahee Jr., Sr. Vice President, Legal & Legislative Affairs
(269) 341-8907

Contract Pharmacy Representative

Bronson Healthcare Group
Troy Shirley, System Director of Pharmacy
(269) 341-8157

Signed By Date

10/12/2017