340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
FAMILY FARE PHARMACY #408
CH051840 TRINITY HEALTH CORPORATION
Print
Covered Entity Details
Entity Name
TRINITY HEALTH CORPORATION
Subdivision Name
Type
HRSA-Funded Health Center
340B ID
CH051840
Entity Address
200 JEFFERSON STREET SOUTHEAST
GRAND RAPIDS, MI 49503
Grant Number
H80CS00031
Participating Start Date
10/1/2006
Last Recertification Date
2/18/2020
Entity Termination Date
10/1/2020
Pharmacy Details
Pharmacy Name
FAMILY FARE PHARMACY #408
Pharmacy Address
565 S. STATE ROAD
SPARTA, MI 49345
Pharmacy Comments
Contract Details
Approval Date
4/16/2018
Contract Begin Date
7/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2020
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Daniel G. Green, Vice President for Finance
(616) 685-6709
Contract Pharmacy Representative
Prevos Family Markets, Inc., Family Fare, LLC
Kristina Rooney, Pharmacy Contract Admin
(616) 878-2761
Signed By Date
4/16/2018
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