Covered Entity Details

DSH230046 UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS (Active) - information as of 5/30/2025 8:17:04 PM

Main Details

Name

UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS

Subdivision Name

Type

Disproportionate Share Hospital

Rural

340B ID

DSH230046

Medicare Provider Number

230046

Additional Details

Current Program Status

Active

Registration Date

9/12/2007

Participating Start Date

1/1/2004

Participating Approval Date

9/12/2007

Last Recertification Date

8/20/2024

Contacts

Authorizing Official

University of Michigan
Dana Habers, Chief Operating Officer, Pharmacy
(323) 240-3032

Primary Contact

University of Michigan
Cindy Gillespie, Assistant Director, Pharmacy 340B Program
(734) 615-5867

Addresses

Street Address

1500 EAST MEDICAL CENTER DRIVE
ANN ARBOR, MI 48109

Billing Address

UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS
3003 South State Street
Ann Arbor, MI 48109

Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History

Comments

Comment	Last Updated On
No records to display.

Medicaid Billing

At this site, will the covered entity bill Medicaid fee-for-service for drugs purchased at 340B prices?
Yes

State	Medicaid Number	NPI Number
MI	1556483	1003878539,1588047054,1396128864,1952181919,1124506712,1326096629

Shipping Addresses

Shipping Address 1

HOMEMED
2850 S INDUSTRIAL HWY
SUITE 50
ANN ARBOR, MI 48104

Shipping Address 2

UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS
1500 EAST MEDICAL CENTER DRIVE
DOCK 5
ANN ARBOR, MI 48109

Shipping Address 3

East Ann Arbor Pharmacy
4260 Plymouth Rd
Room 1002
Ann Arbor, MI 48109

Shipping Address 4

Northville Infusion Pharmacy
39901 Traditions Dr
Suite 220
Northville, MI 48168

Shipping Address 5

UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS
1500 EAST MEDICAL CENTER DRIVE
UH-B2F408
ANN ARBOR, MI 48109

Shipping Address 6

UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS
1500 EAST MEDICAL CENTER DRIVE
ANN ARBOR, MI 48109

Shipping Address 7

East Ann Arbor Infusion Pharmacy
4260 Plymouth Rd
B1201
Ann Arbor, MI 48109

Shipping Address 8

UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS
1500 EAST MEDICAL CENTER DRIVE
RM B2 D400
ANN ARBOR, MI 48109

Shipping Address 9

KELLOGG PHARMACY
1000 WALL ST
RM 4114
ANN ARBOR, MI 48105-1912

Shipping Address 10

UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS
1500 East Medical Center Dr.
UH-B2D301/0008
Ann Arbor, MI 48109

Shipping Address 11

UMHS Brighton Center For Specialty Care Pharmacy
7500 Challis Rd
Brighton, MI 48116

Shipping Address 12

West Ann Arbor Health Center
380 Parkland Plaza Suite 110
Ann Arbor, MI 48103

Shipping Address 13

KEC Grand Blanc
3181 E Grand Blanc Rd
Grand Blanc, MI 48439

Shipping Address 14

West Shore Urology
1301 Mercy Dr
Muskegon, MI 49444

Shipping Address 15

Rachel Upjohn Building
4250 Plymouth Road
Ann Arbor, MI 48109

Shipping Address 16

Safecor Health LLC.
4060 Business Park Drive
Columbus, OH 43204

Shipping Address 17

Joy Road Specialty Pharmacy
7300 W. Joy Rd
Dexter, MI 48130

Shipping Address 18

The Regents of the University of Michigan - Joy Rd Pharmacy
7300 W Joy Road
Dexter, MI 48130

Contract Pharmacies

Contract Detail	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Approval Date	Begin Date	Termination Date	Last Updated On
Contract Detail	ACCREDO HEALTH GROUP INC	1620 CENTURY CENTER PKWY	# 109	MEMPHIS	TN	38134-8849	07/17/2015	10/01/2015		03/15/2016
Contract Detail	ACCREDO HEALTH GROUP INC	3000 ERICSSON DRIVE, SUITE 100		WARRENDALE	PA	15086-7502	07/17/2015	10/01/2015		03/15/2016
Contract Detail	ACCREDO HEALTH GROUP INC	201 GREAT CIRCLE ROAD		NASHVILLE	TN	37228	07/17/2015	10/01/2015	01/11/2018	02/15/2018
Contract Detail	ACCREDO HEALTH GROUP INC	2040 W RIO SALADO PKWY STE 101B		TEMPE	AZ	85281-2010	04/06/2018	07/01/2018		04/06/2018
Contract Detail	ACCREDO HEALTH GROUP INC	39625 LEWIS DR	STE 800	NOVI	MI	48377-2962	04/06/2018	07/01/2018		04/06/2018
Contract Detail	ACCREDO HEALTH GROUP INC	422 GALLIMORE DAIRY RD	SUITE A	GREENSBORO	NC	27409	04/06/2018	07/01/2018	04/05/2021	04/05/2021
Contract Detail	ACCREDO HEALTH GROUP, INC.	2 BOULDEN CIR STE 1		NEW CASTLE	DE	19720-3492	07/17/2015	10/01/2015		03/15/2016
Contract Detail	ACCREDO HEALTH GROUP, INC.	2825 W PERIMETER RD STE 112		INDIANAPOLIS	IN	46241	07/17/2015	10/01/2015	11/29/2023	02/14/2025
Contract Detail	ACCREDO HEALTH GROUP, INC.	6272 LEE VISTA BLVD STE 100		ORLANDO	FL	32822	07/17/2015	10/01/2015	04/30/2017	04/03/2017
Contract Detail	ACCREDO HEALTH GROUP, INC.	11411 STRANG LINE RD	STE A	LENEXA	KS	66215	04/06/2018	07/01/2018		04/06/2018
Contract Detail	ACCREDO HEALTH GROUP, INC.	6272 LEE VISTA BLVD STE 100		ORLANDO	FL	32822	04/05/2021	04/19/2021		04/19/2021
Contract Detail	ACCREDO HEALTH GROUP, INC.	4750 E 450 S	SUITE A	WHITESTOWN	IN	46075	01/14/2022	04/01/2022		04/01/2022
Contract Detail	ADVANCED CARE SCRIPTS, INC	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	6251 CHANCELLOR DRIVE SUITE 101	ORLANDO	FL	32809	04/06/2018	07/01/2018		04/06/2018
Contract Detail	AMBER ENTERPRISES, INC	DBA AMBER SPECIALTY PHARMACY	10004 S 152ND ST STE A	OMAHA	NE	68138-3931	10/15/2018	01/01/2019	02/01/2021	02/01/2021
Contract Detail	APEX DRUG STORES, INC.	RITE AID #4510	2603 JACKSON AVENUE	ANN ARBOR	MI	48103	04/23/2012	04/23/2012	07/15/2024	07/15/2024
Contract Detail	APEX DRUG STORES, INC.	RITE AID #4519	2980 PACKARD STREET	ANN ARBOR	MI	48108	04/23/2012	04/23/2012	07/11/2024	07/11/2024
Contract Detail	APEX DRUG STORES, INC.	RITE AID #4530	2781 PLYMOUTH ROAD	ANN ARBOR	MI	48105	04/23/2012	04/23/2012	08/08/2024	08/08/2024
Contract Detail	APEX DRUG STORES, INC.	RITE AID #4532	2140 US HIGHWAY 23 S	ALPENA	MI	49707	04/03/2018	07/01/2018	07/18/2024	07/18/2024
Contract Detail	APEX DRUG STORES, INC.	RITE AID #4508	4598 STATE STREET	SAGINAW	MI	48603	04/03/2018	07/01/2018	07/11/2024	07/11/2024
Contract Detail	APEX DRUG STORES, INC.	RITE AID #4523	33251 PLYMOUTH ROAD	LIVONIA	MI	48150	04/03/2018	07/01/2018	08/12/2024	08/12/2024
Contract Detail	APEX DRUG STORES, INC.	RITE AID #4432	35584 GRAND RIVER AVENUE	FARMINGTON HILLS	MI	48335	04/03/2018	07/01/2018	08/14/2024	08/14/2024
Contract Detail	APEX DRUG STORES, INC.	RITE AID #4405	1200 SOUTH MAIN ST STE A	ADRIAN	MI	49221	04/15/2020	07/01/2020	12/07/2023	12/07/2023
Contract Detail	APEX DRUG STORES, INC.	RITE AID #4408	1001 NORTH LEROY STREET	FENTON	MI	48430	04/15/2020	07/01/2020	07/08/2024	07/08/2024
Contract Detail	APEX DRUG STORES, INC.	RITE AID #4445	15411 SOUTHFIELD ROAD	ALLEN PARK	MI	48101	04/15/2020	07/01/2020	07/11/2024	07/11/2024
Contract Detail	APEX DRUG STORES, INC.	RITE AID #4504	2838 EAST COURT STREET	FLINT	MI	48506	04/15/2020	07/01/2020	10/25/2023	10/25/2023
Contract Detail	APEX DRUG STORES, INC.	RITE AID #4512	18430 FENKELL STREET	DETROIT	MI	48223	04/15/2020	07/01/2020	01/31/2022	02/07/2022
Contract Detail	APEX DRUG STORES, INC.	RITE AID #4588	3521 CORUNNA ROAD	FLINT	MI	48503	04/15/2020	07/01/2020	08/08/2024	08/08/2024
Contract Detail	AVELLA OF DEER VALLEY	23620 N 20TH DR #12		PHOENIX	AZ	85085-0621	10/16/2015	01/01/2016	04/30/2017	03/15/2017
Contract Detail	AVELLA OF DENVER	1245 E COLFAX AVE STE 102		DENVER	CO	80218-2216	10/16/2015	01/01/2016	04/30/2017	03/15/2017
Contract Detail	BIOPLUS SPECIALTY PHARMACY CA	7373 LINCOLN WAY		GARDEN GROVE	CA	92841	10/05/2018	01/01/2019	02/19/2023	03/08/2024
Contract Detail	BIOPLUS SPECIALTY PHARMACY LA, LLC	2731 MANHATTAN BLVD STE B17		HARVEY	LA	70058	10/05/2018	01/01/2019	07/22/2024	07/22/2024
Contract Detail	BIOPLUS SPECIALTY PHARMACY, INC	3200 LAKE EMMA RD UNIT 1000		LAKE MARY	FL	32746	10/05/2018	01/01/2019	07/22/2024	07/22/2024
Contract Detail	BIRDI, INC.	43811 PLYMOUTH OAKS BLVD		PLYMOUTH	MI	48170	09/16/2021	10/01/2021		10/01/2021
Contract Detail	BRIOVARX OF MAINE INC	DBA BRIOVARX	53 DARLING AVE	SOUTH PORTLAND	ME	04106	07/10/2017	10/01/2017	10/01/2019	02/10/2021
Contract Detail	CAREMARK FLORIDA SPECIALTY PHARMACY LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7930 WOODLAND CENTER BLVD STE 500	TAMPA	FL	33614	01/12/2016	04/01/2016		03/15/2016
Contract Detail	CAREMARK ILLINOIS SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	800 BIERMANN CT STE B	MOUNT PROSPECT	IL	60056	01/12/2016	04/01/2016		03/15/2016
Contract Detail	CAREMARK KANSAS SPECIALTY PHARMACY	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	11162 RENNER BLVD	LENEXA	KS	66219	01/12/2016	04/01/2016		03/15/2016
Contract Detail	CAREMARK MASSACHUSETTS SPECIALTY PHARMAC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	25 BIRCH STREET, BLDG B, SUITE 100	MILFORD	MA	01757	01/12/2016	04/01/2016		03/15/2016
Contract Detail	CAREMARK MICHIGAN SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1307 ALLEN DR STE H	TROY	MI	48083	01/12/2016	04/01/2016		03/15/2016
Contract Detail	CAREMARK NEW JERSEY SPECIALTY PHCY, LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	180 PASSAIC AVE UNIT B-5	FAIRFIELD	NJ	07004	01/12/2016	04/01/2016		03/15/2016
Contract Detail	CAREMARK NORTH CAROLINA SPECIALTY PHARMA	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	10700 WORLD TRADE BLVD STE 110	RALEIGH	NC	27617	01/12/2016	04/01/2016		03/15/2016
Contract Detail	CAREMARK TENNESSEE SPECIALTY PHARMACY, L	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	8370 WOLF LAKE DR STE 107	BARTLETT	TN	38133	01/12/2016	04/01/2016		03/15/2016
Contract Detail	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1127 BRYN MAWR AVE SUITE A	REDLANDS	CA	92374	01/12/2016	04/01/2016		03/15/2016
Contract Detail	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7251 S. EASTERN AVE.	LAS VEGAS	NV	89119	01/15/2021	01/21/2021		01/21/2021
Contract Detail	CENTERWELL PHARMACY, INC.	9843 WINDISCH RD		WEST CHESTER	OH	45069	10/15/2020	01/01/2021	03/31/2024	06/06/2024
Contract Detail	CENTERWELL PHARMACY, INC.	10737 MARKS WAY		MIRAMAR	FL	33025	10/15/2020	01/01/2021	10/12/2023	10/13/2023
Contract Detail	CENTERWELL PHARMACY, INC.	11010 FLORIDA CROWN DRIVE, SUITE 200		ORLANDO	FL	32824	10/13/2023	01/01/2024	03/31/2024	06/06/2024
Contract Detail	CHELSEA PHARMACY	1125 S MAIN ST		CHELSEA	MI	48118-1426	02/02/2012	02/02/2012		03/15/2016
Contract Detail	CORAM ALTERNATE SITE SERVICES, INC.	DBA CORAM CVS/SPECIALTY INFUSION SERVICE	28550 CABOT DR SUITE 200	NOVI	MI	48377	01/16/2017	04/01/2017	06/30/2021	07/01/2021
Contract Detail	CORAM ALTERNATE SITE SERVICES, INC.	DBA CORAM CVS/SPECIALTY INFUSION SERVICE	4334 BROCKTON DRIVE SE SUITE D	KENTWOOD	MI	49512-4118	01/16/2017	04/01/2017		01/16/2017
Contract Detail	CORAM ALTERNATE SITE SERVICES, INC.	DBA TOLEDO IV CARE	4060 TECHNOLOGY DRIVE	MAUMEE	OH	43537	01/16/2017	04/01/2017	06/30/2021	07/01/2021
Contract Detail	CORAM ALTERNATE SITE SERVICES, INC.	DBA CORAM CVS/SPECIALTY INFUSION SERVICE	2901 FRONTAGE ROAD SOUTH, 10 HIGHWAY EAS SUITE 7	MOORHEAD	MN	56560	04/06/2018	07/01/2018	06/30/2021	07/01/2021
Contract Detail	CORAM ALTERNATE SITE SERVICES, INC.	DBA CORAM CVS/SPECIALTY INFUSION SERVICE	431 FERNHILL AVENUE	FORT WAYNE	IN	46805	04/06/2018	07/01/2018	06/30/2021	07/01/2021
Contract Detail	CORAM ALTERNATE SITE SERVICES, INC.	DBA CORAM CVS/SPECIALTY INFUSION SERVICE	220 EXECUTIVE DRIVE SUITE 500	CRANBERRY TOWNSHIP	PA	16066	04/06/2018	07/01/2018	06/30/2021	07/01/2021
Contract Detail	CORAM ALTERNATE SITE SERVICES, INC.	DBA CORAM CVS/SPECIALTY INFUSION SERVICE	1471 E BUSINESS CENTER DRIVE SUITE 500	MOUNT PROSPECT	IL	60056	04/06/2018	07/01/2018	06/30/2021	07/01/2021
Contract Detail	CORAM ALTERNATE SITE SERVICES, INC.	CORAM CVS/SPECIALTY INFUSION SERVICES	4305 MULHAUSER ROAD SUITE 1	FAIRFIELD	OH	45014-2263	04/06/2018	07/01/2018	06/30/2021	07/01/2021
Contract Detail	CORAM ALTERNATE SITE SERVICES, INC.	DBA CORAM CVS/SPECIALTY INFUSION SERVICE	11 H COMMERCE WAY	TOTOWA	NJ	07512	04/06/2018	07/01/2018	06/30/2021	07/01/2021
Contract Detail	CORAM ALTERNATE SITE SERVICES, INC.	DBA CORAM CVS/SPECIALTY INFUSION SERVICE	6 SPRING MILL DR	MALVERN	PA	19355	04/06/2018	07/01/2018	06/30/2021	07/01/2021
Contract Detail	CORAM ALTERNATE SITE SERVICES, INC.	CORAM CVS/SPECIALTY INFUSION SERVICES	8013 FLINT STREET	LENEXA	KS	66214	04/06/2018	07/01/2018	06/30/2021	07/01/2021
Contract Detail	CORAM ALTERNATE SITE SERVICES, INC.	DBA CORAM CVS/SPECIALTY INFUSION SERVICE	10932 MURDOCK DRIVE SUITE 101-A	KNOXVILLE	TN	37932	04/06/2018	07/01/2018	06/30/2021	07/01/2021
Contract Detail	CORAM ALTERNATE SITE SERVICES, INC.	CORAM CVS/SPECIALTY INFUSION SERVICES	4153 ARLINGATE PLAZA SUITE 4153 & 4157	COLUMBUS	OH	43228	04/06/2018	07/01/2018	06/30/2021	07/01/2021
Contract Detail	CORAM ALTERNATE SITE SERVICES, INC.	CORAM CVS/SPECIALTY INFUSION SERVICES	2022 GLENN PARK DRIVE	CHAMPAIGN	IL	61821	04/06/2018	07/01/2018	06/30/2021	07/01/2021
Contract Detail	CORAM ALTERNATE SITE SERVICES, INC.	DBA CORAM CVS/SPECIALTY INFUSION SERVICE	11711 NORTH COLLEGE AVENUE SUITE 125	CARMEL	IN	46032-5601	04/06/2018	07/01/2018	06/30/2021	07/01/2021
Contract Detail	CORAM ALTERNATE SITE SERVICES, INC.	DBA CORAM CVS/SPECIALTY INFUSION SERVICE	2345 WATERS DRIVE	MENDOTA HEIGHTS	MN	55120	04/06/2018	07/01/2018		04/06/2018
Contract Detail	CORAM ALTERNATE SITE SERVICES, INC.	DBA CORAM CVS/SPECIALTY INFUSION SERVICE	1680 CENTURY CENTER PARKWAY SUITE #12	MEMPHIS	TN	38134	04/06/2018	07/01/2018	06/30/2021	07/01/2021
Contract Detail	CORAM ALTERNATE SITE SERVICES, INC.	DBA CORAM CVS/SPECIALTY INFUSION SERVICE	6565 DAVIS INDUSTRAIL PARKWAY SUITE AA	SOLON	OH	44139	04/06/2018	07/01/2018	06/30/2021	07/01/2021
Contract Detail	CORAM HEALTHCARE CORPORATION OF INDIANA	DBA CORAM CVS/SPECIALTY INFUSION SERVICE	1290 ARROWHEAD COURT SUITE A	CROWN POINT	IN	46307	04/06/2018	07/01/2018	06/21/2018	08/16/2018
Contract Detail	CORAM HEALTHCARE CORPORATION OF MASSACHU	CORAM CVS/SPECIALTY INFUSION SERVICES	575 UNIVERSITY AVENUE SUITE 2	NORWOOD	MA	02062	04/06/2018	07/01/2018	06/30/2021	07/01/2021
Contract Detail	CVS CAREMARK	DBA CVS/CAREMARK OR CF# 11506	1 GREAT VALLEY BOULEVARD	WILKES BARRE	PA	18706	04/15/2020	04/29/2020		04/29/2020
Contract Detail	CVS CAREMARK ADVANCED TECHNOLOGY PHARMAC	DBA CVS/CAREMARK 48067	1780 WALL ST	MT PROSPECT	IL	60056	04/15/2020	04/29/2020		04/29/2020
Contract Detail	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	CAREMARK, LLC	1001 SPINKS ROAD, STE 280	FLOWER MOUND	TX	75028	04/15/2022	07/01/2022		07/01/2022
Contract Detail	CYSTIC FIBROSIS SERVICES	CYSTIC FIBROSIS SERVICES, INC	10530 JOHN W ELLIOTT DR, STE 200	FRISCO	TX	75033	10/14/2016	01/01/2017	08/09/2017	08/09/2017
Contract Detail	CYSTIC FIBROSIS SERVICES, LLC	DBA WALGREENS SPECIALTY PHARMACY #16280	10530 JOHN W ELLIOTT DR STE 200	FRISCO	TX	75033	06/29/2017	07/01/2017		06/29/2017
Contract Detail	DEXTER PHARMACY	2820 BAKER ROAD	SUITE 100	DEXTER	MI	48130	03/13/2012	03/13/2012	08/23/2019	10/11/2019
Contract Detail	DIPLOMAT SPECIALTY PHARMACY	4100 S SAGINAW ST	STE D	FLINT	MI	48507-2683	01/14/2016	04/01/2016	04/05/2022	06/14/2023
Contract Detail	DIPLOMAT SPECIALTY PHARMACY	G3320 BEECHER RD		FLINT	MI	48532-3614	01/14/2016	04/01/2016	01/01/2020	07/02/2020
Contract Detail	DIPLOMAT SPECIALTY PHARMACY	1370 BUSCH PKWY		BUFFALO GROVE	IL	60089-4505	01/14/2016	04/01/2016	01/15/2018	01/15/2018
Contract Detail	DIPLOMAT SPECIALTY PHARMACY OF FT LAUDER	DIPLOMAT SPECIALTY PHARMACY	15471 SW 12TH ST STE 207	SUNRISE	FL	33326	01/14/2016	04/01/2016	01/15/2018	01/15/2018
Contract Detail	DIPLOMAT SPECIALTY PHARMACY OF PHOENIX,	DIPLOMAT SPECIALTY PHARMACY	485 N. JUNIPER DR	CHANDLER	AZ	85226	07/03/2019	10/01/2019	09/30/2020	10/15/2020
Contract Detail	DIPLOMAT SPECIALTY PHARMACY OF SOUTHERN	DIPLOMAT SPECIALTY PHARMACY	1809 EXCISE AVENUE SUITE 204-208	ONTARIO	CA	91761	01/14/2016	04/01/2016	01/15/2018	01/15/2018
Contract Detail	ESI MAIL PHARMACY SERVICE	DBA EXPRESS SCRIPTS	7909 S HARDY DR STE 106	TEMPE	AZ	85284-1112	07/15/2016	10/01/2016		07/15/2016
Contract Detail	EXPRESS SCRIPTS	ESI MAIL PHARMACY SERVICE INC	4600 N HANLEY RD	SAINT LOUIS	MO	63134	07/15/2016	10/01/2016		07/15/2016
Contract Detail	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	2040 ROUTE 130 NORTH	BURLINGTON	NJ	08016	07/15/2016	10/01/2016		07/15/2016
Contract Detail	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	4750 E. 450 S.	WHITESTOWN	IN	46075	07/15/2016	10/01/2016		07/15/2016
Contract Detail	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	255 PHILLIPI ROAD	COLUMBUS	OH	43228	07/15/2016	10/01/2016	06/29/2018	06/29/2018
Contract Detail	GENOA HEALTHCARE LLC	1485 S M-139		BENTON HARBOR	MI	49022	04/15/2021	04/19/2021	07/01/2022	07/01/2022
Contract Detail	GENOA HEALTHCARE LLC	50680 CORPORATE DRIVE	SUITE #2	SHELBY TOWNSHIP	MI	48315	04/15/2021	04/19/2021	07/01/2022	07/01/2022
Contract Detail	GERMAN DOBSON CVS, L.L.C.	DBA: CVS/PHARMACY # 08366	1610 E CAMELBACK RD	PHOENIX	AZ	85016	04/01/2021	04/19/2021		04/19/2021
Contract Detail	GOOD HEALTH INC	DBA PREMIER PHARMACY SERVICES	1943 SCHUETZ RD	SAINT LOUIS	MO	63146-3550	04/06/2018	07/01/2018	07/01/2018	07/01/2018
Contract Detail	GOOD NEIGHBOR'S FAMILY PHARMACY	GOOD NEIGHBOR'S FAMILY PHARMACY	1956 S VENOY RD	WESTLAND	MI	48186	04/02/2019	07/01/2019	12/31/2021	12/31/2021
Contract Detail	GRASS LAKE COMMUNITY PHARMACY	110 E. MICHIGAN AVE.	P.O. BOX 842	GRASS LAKE	MI	49240	10/03/2018	01/01/2019		01/01/2019
Contract Detail	HOMETOWN PHARMACY #40 - ANN ARBOR	2355 E STADIUM BLVD		ANN ARBOR	MI	48104	07/14/2014	10/01/2014	10/01/2022	10/11/2022
Contract Detail	HOMETOWN PHARMACY LTC	1123 S MAIN ST		CHELSEA	MI	48118-1426	07/06/2018	10/01/2018	11/15/2021	12/30/2021
Contract Detail	HOMETOWN PHARMACY LTC	1123 S MAIN ST		CHELSEA	MI	48118-1426	10/11/2022	01/01/2023		01/01/2023
Contract Detail	HOOK-SUPERX, L.L.C.	CVS/PHARMACY #11114	2800 ENTERPRISE ST STE 5	INDIANAPOLIS	IN	46219-1106	07/02/2020	10/01/2020	05/15/2023	07/19/2023
Contract Detail	JENSEN DEXTER PHARMACY, PC	DBA JENSEN'S COMMUNITY PHARMACY	7067 DEXTER ANN ARBOR RD	DEXTER	MI	48130	01/05/2021	01/21/2021		01/21/2021
Contract Detail	JENSEN'S COMMUNITY PHARMACY	DBA JENSEN'S COMMUNITY PHARMACY	968 E MICHIGAN AVE	SALINE	MI	48176-1586	10/03/2018	01/01/2019		01/01/2019
Contract Detail	KROGER	108 W. HIGHLAND		HOWELL	MI	48843	07/05/2018	10/01/2018	07/22/2024	07/22/2024
Contract Detail	KROGER CO MICHIGAN #689	3200 CARPENTER ROAD		YPSILANTI	MI	48197	10/04/2013	01/01/2014		03/15/2016
Contract Detail	KROGER CO OF MICHIGAN	DBA KESSEL #419	1542 E PIERSON RD	FLUSHING	MI	48433	04/10/2019	07/01/2019	07/22/2024	07/22/2024
Contract Detail	KROGER CO OF MICHIGAN	7350 N MIDDLEBELT RD		WESTLAND	MI	48185-2502	07/03/2019	10/01/2019	07/22/2024	07/22/2024
Contract Detail	KROGER CO OF MICHIGAN	33523 EIGHT MILE ROAD		LIVONIA	MI	48152	07/03/2019	10/01/2019	07/22/2024	07/22/2024
Contract Detail	KROGER CO OF MICHIGAN	#632	47650 GRAND RIVER	NOVI	MI	48374	07/03/2019	10/01/2019	07/22/2024	07/22/2024
Contract Detail	KROGER CO OF MICHIGAN #115	3838 RICHFIELD ROAD		FLINT	MI	48506	07/03/2019	10/01/2019	07/22/2024	07/22/2024
Contract Detail	KROGER CO OF MICHIGAN #520	1771 MICHIGAN AVE		YPSILANTI	MI	48198	10/04/2013	01/01/2014		03/15/2016
Contract Detail	KROGER CO OF MICHIGAN #576	531 WEST MAIN STREET		MILAN	MI	48160	07/05/2018	10/01/2018	07/22/2024	07/22/2024
Contract Detail	KROGER CO OF MICHIGAN #577	571 E. MONROE STREET		DUNDEE	MI	48131	07/05/2018	10/01/2018	07/22/2024	07/22/2024
Contract Detail	KROGER CO OF MICHIGAN #578	850 SOUTH MONROE STREET		MONROE	MI	48161	04/10/2019	07/01/2019	07/22/2024	07/22/2024
Contract Detail	KROGER CO OF MICHIGAN #579	3833 NORTH DIXIE HIGHWAY		MONROE	MI	48162	04/10/2019	07/01/2019	07/22/2024	07/22/2024
Contract Detail	KROGER CO OF MICHIGAN #619	37550 TWELVE MILE		FARMINGTON HILLS	MI	48331	07/03/2019	10/01/2019	07/22/2024	07/22/2024
Contract Detail	KROGER CO OF MICHIGAN #680	1100 W. ARGYLE ST.		JACKSON	MI	49202	04/10/2019	07/01/2019	07/22/2024	07/22/2024
Contract Detail	KROGER CO OF MICHIGAN #703	45540 MICHIGAN AVE		CANTON TOWNSHIP	MI	48188	07/05/2018	10/01/2018	07/22/2024	07/22/2024
Contract Detail	KROGER CO OF MICHIGAN #707	2010 WHITTAKER		YPSILANTI	MI	48197	10/04/2013	01/01/2014	07/22/2024	07/22/2024
Contract Detail	KROGER CO OF MICHIGAN #711	7084 MILLER RD		SWARTZ CREEK	MI	48473	04/10/2019	07/01/2019	07/22/2024	07/22/2024
Contract Detail	KROGER CO OF MICHIGAN #714	700 N STATE STREET		DAVISON	MI	48423	07/03/2019	10/01/2019	07/22/2024	07/22/2024
Contract Detail	KROGER CO OF MICHIGAN #721	9700 CHILSON COMMONS CIRCLE		PINCKNEY	MI	48169	10/04/2013	01/01/2014	07/22/2024	07/22/2024
Contract Detail	KROGER COLUMBUS CENTRAL FILL #019	2270 RICKENBACKER PKWY W		COLUMBUS	OH	43217	10/10/2019	01/01/2020	07/22/2024	07/22/2024
Contract Detail	KROGER COMPANY	290 W CARLTON		HILLSDALE	MI	49242	07/03/2019	10/01/2019	07/22/2024	07/22/2024
Contract Detail	KROGER DBA: KESSEL #409	12731 S. SAGINAW STREET		GRAND BLANC	MI	48439	07/03/2019	10/01/2019	07/22/2024	07/22/2024
Contract Detail	KROGER PHARMACY	3462 W. STERNS ROAD		LAMBERTVILLE	MI	48144	04/10/2019	07/01/2019	07/22/2024	07/22/2024
Contract Detail	KROGER PHARMACY	16705 FORT ST.		SOUTHGATE	MI	48195	07/03/2019	10/01/2019	07/22/2024	07/22/2024
Contract Detail	KROGER PHARMACY #729	2905 UNION LAKE RD		COMMERCE TOWNSHIP	MI	48382	07/03/2019	10/01/2019	07/22/2024	07/22/2024
Contract Detail	KROGER PHARMACY #737	14945 23 MILE ROAD		SHELBY TOWNSHIP	MI	48315	04/10/2019	07/01/2019	07/22/2024	07/22/2024
Contract Detail	KROGER PHARMACY #759	10951 HIGHLAND RD		WHITE LAKE	MI	48386	07/03/2019	10/01/2019	07/22/2024	07/22/2024
Contract Detail	KROGER SPECIALTY PHARMACY CA 2	6240 WILSHIRE BLVD.		LOS ANGELES	CA	90048	10/05/2018	01/01/2019	06/30/2020	06/30/2020
Contract Detail	KROGER SPECIALTY PHARMACY FL 2	6435 HAZELTINE NATIONAL DR STE 140		ORLANDO	FL	32822-5156	10/05/2018	01/01/2019	05/16/2022	07/02/2024
Contract Detail	KROGER SPECIALTY PHARMACY INC	KROGER SPECIALTY PHARMACY CA 3	1821 KAISER AVE	IRVINE	CA	92614-5707	10/05/2018	01/01/2019	02/28/2022	03/03/2022
Contract Detail	LYNNFIELD DRUG INC	DBA FREEDOM FERTILITY PHARMACY	374 MERRIMAC ST STE 100	NEWBURYPORT	MA	01950	04/06/2018	07/01/2018		04/06/2018
Contract Detail	MANCHESTER PHARMACY	128 E MAIN ST	PO BOX 399	MANCHESTER	MI	48158	07/06/2018	10/01/2018	07/26/2019	10/11/2019
Contract Detail	MEIJER DISTRIBUTION INC #90	2721 WALKER AVE NW		GRAND RAPIDS	MI	49544	03/05/2012	03/05/2012		03/15/2016
Contract Detail	MEIJER INC #108	7300 EASTMAN ROAD		MIDLAND	MI	48642	04/03/2018	07/01/2018		04/03/2018
Contract Detail	MEIJER INC #122	49900 GRAND RIVER AVENUE		WIXOM	MI	48393	04/03/2018	07/01/2018		04/03/2018
Contract Detail	MEIJER INC #172	3883 E. GRAND RIVER		HOWELL	MI	48843	12/12/2012	12/12/2012		03/15/2016
Contract Detail	MEIJER INC #173	5645 JACKSON ROAD		ANN ARBOR	MI	48103	03/05/2012	03/05/2012		03/15/2016
Contract Detail	MEIJER INC #174	550 HULL ROAD		MASON	MI	48854	04/03/2018	07/01/2018		04/03/2018
Contract Detail	MEIJER INC #188	13000 MIDDLEBELT ROAD		LIVONIA	MI	48150-2211	04/03/2018	07/01/2018		04/03/2018
Contract Detail	MEIJER INC #213	9515 BIRCH RUN ROAD		BIRCH RUN	MI	48415-9613	04/03/2018	07/01/2018		04/03/2018
Contract Detail	MEIJER INC #23	5125 W SAGINAW RD		LANSING	MI	48917	04/03/2018	07/01/2018		04/03/2018
Contract Detail	MEIJER INC #245	2160 HARTLAND RD		HARTLAND	MI	48353	04/03/2018	07/01/2018		04/03/2018
Contract Detail	MEIJER INC #25	2055 W GRAND RIVER		OKEMOS	MI	48864	04/03/2018	07/01/2018		04/03/2018
Contract Detail	MEIJER INC #27	3825 CARPENTER ROAD		YPSILANTI	MI	48197	03/05/2012	03/05/2012		03/15/2016
Contract Detail	MEIJER INC #30	2777 AIRPORT ROAD		JACKSON	MI	49202	12/12/2012	12/12/2012		03/15/2016
Contract Detail	MEIJER INC #32	45001 FORD ROAD		CANTON	MI	48187	12/12/2012	12/12/2012		03/15/2016
Contract Detail	MEIJER INC #35	14640 PARDEE ROAD		TAYLOR	MI	48180	04/03/2018	07/01/2018		04/03/2018
Contract Detail	MEIJER INC #42	8400 GRATIOT ROAD		SAGINAW	MI	48609	04/03/2018	07/01/2018		04/03/2018
Contract Detail	MEIJER INC #43	3360 TITTABAWASSEE ROAD		SAGINAW	MI	48604	04/03/2018	07/01/2018		04/03/2018
Contract Detail	MEIJER INC #45	217 EAST US223		ADRIAN	MI	49221	04/03/2018	07/01/2018		04/03/2018
Contract Detail	MEIJER INC #46	8650 W GRAND RIVER		BRIGHTON	MI	48116	12/12/2012	12/12/2012		03/15/2016
Contract Detail	MEIJER INC #52	1350 W LAKE LANSING RD		EAST LANSING	MI	48823	04/03/2018	07/01/2018		04/03/2018
Contract Detail	MEIJER INC #54	20401 HAGGERTY RD		NORTHVILLE	MI	48167	12/12/2012	12/12/2012		03/15/2016
Contract Detail	MEIJER INC #56	3333 E. MICHIGAN AVE.		JACKSON	MI	49202	12/12/2012	12/12/2012		03/15/2016
Contract Detail	MEIJER INC #64	3145 ANN ARBOR/SALINE RD		ANN ARBOR	MI	48103	03/05/2012	03/05/2012		03/15/2016
Contract Detail	MEIJER INC #68	37201 WARREN RD		WESTLAND	MI	48185	04/03/2018	07/01/2018		04/03/2018
Contract Detail	MEIJER INC #70	22600 ALLEN RD		WOODHAVEN	MI	48183	10/03/2018	01/01/2019		01/01/2019
Contract Detail	MEIJER INC #72	9701 BELLEVILLE ROAD		BELLEVILLE	MI	48111	12/12/2012	12/12/2012		03/15/2016
Contract Detail	MEIJER INC. #67	1700 TELEGRAPH RD		MONROE	MI	48162	04/03/2018	07/01/2018		04/03/2018
Contract Detail	Meijer Pharmacy	3757 Plainfield Avenue NE		Grand Rapids	MI	49525	03/05/2012	03/05/2012	03/09/2018	03/12/2018
Contract Detail	MEIJER PHARMACY #278	26100 VREELAND RD		FLAT ROCK	MI	48134	04/03/2018	07/01/2018		04/03/2018
Contract Detail	MEIJER PHARMACY #294	505 N 26TH ST		ESCANABA	MI	49829	10/03/2018	01/01/2019	08/09/2022	01/09/2024
Contract Detail	MEIJER PHARMACY #464	41255 COCA COLA DR.		BELLEVILLE	MI	48111-1827	10/14/2016	01/01/2017		10/14/2016
Contract Detail	MEIJER SPECIALTY PHARMACY	8455 HAGGERTY ROAD		BELLEVILLE	MI	48111	07/03/2019	10/01/2019		10/01/2019
Contract Detail	MEIJER STORES LIMITED PARTNERSHIP	D/B/A MEIJER PHARMACY #463	1515 PROFIT DR.	FORT WAYNE	IN	46808	04/04/2013	07/01/2013		03/15/2016
Contract Detail	MEIJER, INC. #303	2770 S. STATE ROAD		IONIA	MI	48846	10/03/2018	01/01/2019	08/09/2022	01/09/2024
Contract Detail	NOVIXUS PHARMACY SERVICES		43159 WEST NINE MILE ROAD	NOVI	MI	48376	09/13/2011	09/13/2011	03/31/2017	04/13/2017
Contract Detail	NOVIXUS PHARMACY SERVICES	43159 W 9 MILE RD.		NOVI	MI	48375-4117	04/13/2017	04/13/2017	08/04/2021	09/02/2021
Contract Detail	OHIO CVS STORES, L.L.C.	CVS/PHARMACY # 10246	4121 MONROE STREET	TOLEDO	OH	43606	01/15/2021	01/21/2021		01/21/2021
Contract Detail	OPTION CARE ENTERPRISES, INC.	DBA OPTION CARE	1255 MICHIGAN ST. NE	GRAND RAPIDS	MI	49503	07/15/2016	10/01/2016		07/15/2016
Contract Detail	OPTION CARE ENTERPRISES, INC.	DBA OPTION CARE	27005 HILLS TECH COURT	FARMINGTON HILLS	MI	48331-5723	07/15/2016	10/01/2016		07/15/2016
Contract Detail	OPTION CARE ENTERPRISES, INC.	D/B/A OPTION CARE	11403 BLUEGRASS PARKWAY SUITE 400	LOUISVILLE	KY	40299-2398	07/15/2016	10/01/2016		07/15/2016
Contract Detail	OPTION CARE ENTERPRISES, INC.	OPTION CARE	870 N. ARLINGTON HEIGHTS RD SUITE 101	ITASCA	IL	60143	10/15/2018	01/01/2019		01/01/2019
Contract Detail	OPTUM FRONTIER THERAPIES II, LLC	6425 SANTA MARGARITA ST UNIT 110		LAS VEGAS	NV	89118-1913	07/10/2017	10/01/2017		10/01/2017
Contract Detail	OPTUM FRONTIER THERAPIES, LLC	325 W ATHERTON RD	SUITE 1	FLINT	MI	48507-2601	07/07/2023	10/01/2023		10/01/2023
Contract Detail	OPTUM INFUSION SERVICES 204, INC	4220 EXECUTIVE CIRCLE, SUITE 62		FORT MYERS	FL	33916	04/15/2021	04/19/2021	07/01/2023	03/06/2025
Contract Detail	OPTUM INFUSION SERVICES 302, LLC	8720 S 114TH ST STE 106		LA VISTA	NE	68128-5585	04/15/2021	04/19/2021		04/19/2021
Contract Detail	OPTUM INFUSION SERVICES 305, LLC	15529 COLLEGE BLVD.		LENEXA	KS	66219-1351	04/07/2020	07/01/2020		07/01/2020
Contract Detail	OPTUM INFUSION SERVICES 308, LLC	485 N JUNIPER DR	STE 2	CHANDLER	AZ	85226	04/07/2020	07/01/2020		07/01/2020
Contract Detail	OPTUM INFUSION SERVICES 401, LLC	4610 NORTHGATE BLVD.	STE. 130	SACRAMENTO	CA	95834-1154	04/07/2020	07/01/2020		07/01/2020
Contract Detail	OPTUM INFUSION SERVICES 500, INC	2182 DIVIDEND DR		COLUMBUS	OH	43228-3806	04/04/2022	07/01/2022		07/01/2022
Contract Detail	OPTUM INFUSION SERVICES 550, LLC	7167 E. KEMPER RD.		CINCINNATI	OH	45249	04/04/2022	07/01/2022		07/01/2022
Contract Detail	OPTUM PHARMACY 700, LLC	19 CHAPIN RD BLDG D, STE D8		PINE BROOK	NJ	07058	04/04/2022	07/01/2022		07/01/2022
Contract Detail	OPTUM PHARMACY 700, LLC	5700 DOT COM CT, STE 1000		OVIEDO	FL	32765	04/04/2022	07/01/2022		07/01/2022
Contract Detail	OPTUM PHARMACY 701, LLC	4100 S SAGINAW ST STE D		FLINT	MI	48507	04/04/2022	04/04/2022		04/06/2022
Contract Detail	OPTUM PHARMACY 701, LLC	1830 S HORNE		MESA	AZ	85204	10/06/2023	01/01/2024		01/01/2024
Contract Detail	OPTUM PHARMACY 701, LLC	4015 SHOPTON RD STE 600		CHARLOTTE	NC	28217-3025	04/01/2025	07/01/2025		04/01/2025
Contract Detail	OPTUM PHARMACY 702, LLC	1050 PATROL RD		JEFFERSONVILLE	IN	47130	07/10/2017	10/01/2017		10/01/2017
Contract Detail	OPTUM PHARMACY 704, INC.	5627 UNIVERSITY HTS STE 108		SAN ANTONIO	TX	78249	10/09/2020	01/01/2021		01/01/2021
Contract Detail	OPTUM PHARMACY 705, LLC	1100 LEE BRANCH LN		BIRMINGHAM	AL	35242-7298	07/10/2017	10/01/2017		10/01/2017
Contract Detail	OPTUM PHARMACY 705, LLC	3539 BLUECUTT RD		COLUMBUS	MS	39705	10/09/2020	01/01/2021		01/01/2021
Contract Detail	OPTUM PHARMACY 705, LLC	1893 GENERAL GEORGE PATTON DR	STE 106	FRANKLIN	TN	37067-2655	04/04/2022	07/01/2022		07/01/2022
Contract Detail	OPTUM PHARMACY 706, INC.	30-30 47TH AVENUE	SUITE 410	LONG ISLAND CITY	NY	11101	07/10/2017	10/01/2017		10/01/2017
Contract Detail	OPTUM PHARMACY 707, INC	4900 RIVERGRADE RD STE E110		IRWINDALE	CA	91706-1401	04/04/2022	07/01/2022		07/01/2022
Contract Detail	OPTUM PHARMACY 801, INC.	24416 N 19TH AVE	STE. 100	PHOENIX	AZ	85085	10/09/2020	01/01/2021		01/01/2021
Contract Detail	OPTUMRX	2858 LOKER AVE E STE 100		CARLSBAD	CA	92010-6608	04/15/2020	04/29/2020	12/15/2022	07/07/2023
Contract Detail	OPTUMRX	OPTUMRX INC	6800 W 115TH ST STE 600	OVERLAND PARK	KS	66211-9838	04/15/2020	04/29/2020		04/29/2020
Contract Detail	PALM PHARMACY	6650 GREENFIELD RD		DEARBORN	MI	48126	01/14/2019	04/01/2019	01/14/2019	01/18/2019
Contract Detail	PDS-I MICHIGAN, INC.	RITE AID #4559	1750 GRATIOT BOULEVARD	MARYSVILLE	MI	48040	04/03/2018	07/01/2018	07/24/2024	07/24/2024
Contract Detail	PDS-I MICHIGAN, INC.	RITE AID #4567	936 EAST LUDINGTON AVE.	LUDINGTON	MI	49431	04/15/2020	07/01/2020	06/26/2024	07/02/2024
Contract Detail	PDS-I MICHIGAN, INC.	RITE AID #4574	2910 PINE GROVE AVENUE	PORT HURON	MI	48060	04/15/2020	07/01/2020	07/16/2024	07/16/2024
Contract Detail	PERRY DRUG STORES, INC.	RITE AID #4332	51341 W. HURON RIVER DRIVE	BELLEVILLE	MI	48111	10/16/2015	01/01/2016	07/18/2024	07/18/2024
Contract Detail	PERRY DRUG STORES, INC.	RITE AID #4314	8701 WEST GRAND RIVER	BRIGHTON	MI	48116	10/16/2015	01/01/2016	11/29/2022	07/19/2023
Contract Detail	PERRY DRUG STORES, INC.	RITE AID #4320	37399 6 MILE ROAD	LIVONIA	MI	48152	10/16/2015	01/01/2016	06/26/2024	07/02/2024
Contract Detail	PERRY DRUG STORES, INC.	RITE AID #4358	35101 MICHIGAN AVENUE EAST	WAYNE	MI	48184	10/16/2015	01/01/2016	07/16/2024	07/16/2024
Contract Detail	PERRY DRUG STORES, INC.	RITE AID #4363	753 SOUTH GROVE STREET	YPSILANTI	MI	48198	10/16/2015	01/01/2016	07/29/2024	07/29/2024
Contract Detail	PERRY DRUG STORES, INC.	RITE AID #4506	720 SOUTH MITCHELL STREET	CADILLAC	MI	49601	04/03/2018	07/01/2018	07/02/2024	07/02/2024
Contract Detail	PERRY DRUG STORES, INC.	RITE AID #4443	1565 EAST PIERSON ROAD	FLUSHING	MI	48433	04/03/2018	07/01/2018	07/09/2024	07/09/2024
Contract Detail	PERRY DRUG STORES, INC.	RITE AID #4325	5983 HIGHLAND ROAD	WATERFORD	MI	48327	04/03/2018	07/01/2018	08/12/2024	08/12/2024
Contract Detail	PERRY DRUG STORES, INC.	RITE AID #4366	9155 TELEGRAPH ROAD	TAYLOR	MI	48180	04/03/2018	07/01/2018	01/31/2022	02/07/2022
Contract Detail	PERRY DRUG STORES, INC.	RITE AID #4350	3100 EAST MICHIGAN AVENUE	JACKSON	MI	49202	04/03/2018	07/01/2018	11/06/2023	11/06/2023
Contract Detail	PERRY DRUG STORES, INC.	RITE AID #4306	2880 EAST HIGHLAND ROAD	HIGHLAND	MI	48356	04/03/2018	07/01/2018	07/23/2024	07/23/2024
Contract Detail	PERRY DRUG STORES, INC.	RITE AID #4488	120 EAST CEDAR AVE	GLADWIN	MI	48624	04/03/2018	07/01/2018	08/01/2024	08/01/2024
Contract Detail	PERRY DRUG STORES, INC.	RITE AID #4372	640 NORTH MILFORD ROAD	MILFORD	MI	48381	04/03/2018	07/01/2018	07/11/2024	07/11/2024
Contract Detail	PERRY DRUG STORES, INC.	RITE AID #4333	100 EAST VIENNA ROAD	CLIO	MI	48420	04/03/2018	07/01/2018	08/15/2024	08/15/2024
Contract Detail	PERRY DRUG STORES, INC.	RITE AID #4357	3880 WILDER ROAD	BAY CITY	MI	48706	04/03/2018	07/01/2018	06/27/2024	07/02/2024
Contract Detail	PERRY DRUG STORES, INC.	RITE AID #4319	8360 SOUTH SAGINAW STREET	GRAND BLANC	MI	48439	04/03/2018	07/01/2018	07/30/2024	07/30/2024
Contract Detail	PERRY DRUG STORES, INC.	RITE AID #4466	29447 FORD ROAD	GARDEN CITY	MI	48135	04/03/2018	07/01/2018	10/31/2023	12/07/2023
Contract Detail	PERRY DRUG STORES, INC.	RITE AID #4439	841 SOUTH STATE ROAD	DAVISON	MI	48423	04/03/2018	07/01/2018	07/09/2024	07/09/2024
Contract Detail	PERRY DRUG STORES, INC.	RITE AID #4324	1002 EAST MAIN STREET	OWOSSO	MI	48867	04/03/2018	07/01/2018	08/23/2023	09/15/2023
Contract Detail	PERRY DRUG STORES, INC.	RITE AID #4331	507 SOUTH TELEGRAPH ROAD	MONROE	MI	48161	04/03/2018	07/01/2018	02/05/2019	02/05/2019
Contract Detail	PERRY DRUG STORES, INC.	RITE AID #4424	1089 NORTH WISNER STREET	JACKSON	MI	49202	04/03/2018	07/01/2018	11/29/2022	07/19/2023
Contract Detail	PERRY DRUG STORES, INC.	RITE AID #4539	1733 SPRING ARBOR ROAD	JACKSON	MI	49203	04/03/2018	07/01/2018	08/14/2024	08/14/2024
Contract Detail	PERRY DRUG STORES, INC.	RITE AID #4471	1020 EAST HILL ROAD	GRAND BLANC	MI	48439	04/03/2018	07/01/2018	07/02/2024	07/02/2024
Contract Detail	PERRY DRUG STORES, INC.	RITE AID #4507	309 NORTH MAIN STREET	FRANKENMUTH	MI	48734	04/03/2018	07/01/2018	08/15/2024	08/15/2024
Contract Detail	PERRY DRUG STORES, INC.	RITE AID #4393	973 WASHINGTON AVE	HOLLAND	MI	49423	04/03/2018	07/01/2018	01/31/2022	02/07/2022
Contract Detail	PERRY DRUG STORES, INC.	RITE AID #4369	30 EAST COLUMBIA AVE SUITE A	BATTLE CREEK	MI	49015	10/03/2018	01/01/2019	11/13/2023	12/07/2023
Contract Detail	PERRY DRUG STORES, INC.	RITE AID #4305	2971 WEST MAPLE ROAD	TROY	MI	48084	04/15/2020	07/01/2020	07/01/2024	07/02/2024
Contract Detail	PERRY DRUG STORES, INC.	RITE AID #4309	1022 WEST GENESEE STREET	LAPEER	MI	48446	04/15/2020	07/01/2020	07/02/2024	07/02/2024
Contract Detail	PERRY DRUG STORES, INC.	RITE AID #4321	51037 VAN DYKE AVENUE	SHELBY TOWNSHIP	MI	48316	04/15/2020	07/01/2020	11/01/2023	12/07/2023
Contract Detail	PERRY DRUG STORES, INC.	RITE AID #4322	32905 FORT RD	ROCKWOOD	MI	48173-1112	04/15/2020	07/01/2020	08/13/2024	08/13/2024
Contract Detail	PERRY DRUG STORES, INC.	RITE AID #4323	610 NORTH CEDAR ST STE A	MASON	MI	48854	04/15/2020	07/01/2020	08/21/2024	08/21/2024
Contract Detail	PERRY DRUG STORES, INC.	RITE AID #4330	557 NORTH CEDAR STREET	IMLAY CITY	MI	48444	04/15/2020	07/01/2020	08/14/2024	08/14/2024
Contract Detail	PERRY DRUG STORES, INC.	RITE AID #4334	19016 FORT STREET	RIVERVIEW	MI	48193	04/15/2020	07/01/2020	07/25/2024	07/25/2024
Contract Detail	PERRY DRUG STORES, INC.	RITE AID #4352	24850 GREENFIELD ROAD	OAK PARK	MI	48237	04/15/2020	07/01/2020	07/31/2024	07/31/2024
Contract Detail	PERRY DRUG STORES, INC.	RITE AID #4362	28659 TELEGRAPH ROAD	FLATROCK	MI	48134	04/15/2020	07/01/2020	08/06/2024	08/06/2024
Contract Detail	PERRY DRUG STORES, INC.	RITE AID #4368	107 KERCHEVAL AVENUE	GROSSE POINTE FARMS	MI	48236	04/15/2020	07/01/2020	01/31/2022	02/07/2022
Contract Detail	PERRY DRUG STORES, INC.	RITE AID #4376	33330 WEST 12 MILE ROAD	FARMINGTON HILLS	MI	48334	04/15/2020	07/01/2020	08/01/2024	08/01/2024
Contract Detail	PERRY DRUG STORES, INC.	RITE AID #4377	42931 WOODWARD AVENUE	BLOOMFIELD HILLS	MI	48304	04/15/2020	07/01/2020	01/31/2022	02/07/2022
Contract Detail	PERRY DRUG STORES, INC.	RITE AID #4378	1341 WRIGHT AVENUE	ALMA	MI	48801	04/15/2020	07/01/2020	01/31/2022	02/07/2022
Contract Detail	PERRY DRUG STORES, INC.	RITE AID #4380	RENAISSANCE PLAZA 300 WEST CARLETON ROAD	HILLSDALE	MI	49242	04/15/2020	07/01/2020	07/08/2024	07/08/2024
Contract Detail	PERRY DRUG STORES, INC.	RITE AID #4382	2910 ASHMAN STREET	MIDLAND	MI	48640	04/15/2020	07/01/2020	07/01/2024	07/02/2024
Contract Detail	PERRY DRUG STORES, INC.	RITE AID #4440	9090 MILLER ROAD	SWARTZ CREEK	MI	48473	04/15/2020	07/01/2020	08/07/2024	08/07/2024
Contract Detail	PERRY DRUG STORES, INC.	RITE AID #4441	11609 SOUTH SAGINAW STREET	GRAND BLANC	MI	48439	04/15/2020	07/01/2020	08/01/2024	08/01/2024
Contract Detail	PERRY DRUG STORES, INC.	RITE AID #4442	4515 CORUNNA ROAD	FLINT	MI	48532	04/15/2020	07/01/2020	01/31/2022	02/07/2022
Contract Detail	PERRY DRUG STORES, INC.	RITE AID #4452	BLOOMFIELD COMMONS 3669 W. MAPLE	BLOOMFIELD HILLS	MI	48301	04/15/2020	07/01/2020	07/31/2024	07/31/2024
Contract Detail	PERRY DRUG STORES, INC.	RITE AID #4455	625 NORTH STATE STREET	CARO	MI	48723	04/15/2020	07/01/2020	08/14/2024	08/14/2024
Contract Detail	PERRY DRUG STORES, INC.	RITE AID #4487	3050 UNION LAKE ROAD COMMERCE TOWN CENTER	COMMERCE TOWNSHIP	MI	48382	04/15/2020	07/01/2020	07/24/2024	07/24/2024
Contract Detail	PERRY DRUG STORES, INC.	RITE AID #4502	211 E LAKE STREET	TAWAS CITY	MI	48763-9305	04/15/2020	07/01/2020	08/20/2024	08/20/2024
Contract Detail	PREMIER PHARMACY SERVICES	410 CLOVERLEAF DR		BALDWIN PARK	CA	91706	04/06/2018	07/01/2018	03/31/2021	03/31/2021
Contract Detail	PRIME THERAPEUTICS SPECIALTY PHARMACY LL	ALLIANCERX WALGREENS PRIME #16568	2354 COMMERCE PARK DRIVE SUITE 100	ORLANDO	FL	32819-9992	07/15/2016	10/01/2016	08/31/2022	08/08/2024
Contract Detail	PROCARE PHARMACY DIRECT, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	105 MALL BOULEVARD	MONROEVILLE	PA	15146	01/12/2016	04/01/2016		03/15/2016
Contract Detail	PROCARE PHARMACY, L.L.C.	DBA CVS/PHARMACY #11338	10160 INTERNATIONAL BLVD.	WEST CHESTER	OH	45246	01/02/2020	04/01/2020		04/01/2020
Contract Detail	PROCARE PHARMACY, L.L.C.	DBA CVS/PHARMACY #2751	426 S. HENDERSON STREET	FORT WORTH	TX	76104	01/02/2020	04/01/2020		04/01/2020
Contract Detail	PROCARE PHARMACY, L.L.C.	DBA: CVS/PHARMACY #2909	1521 4TH AVE., SOUTH	BIRMINGHAM	AL	35233	04/15/2022	07/01/2022		07/01/2022
Contract Detail	PROCARE PHARMACY, L.L.C.	DBA CVS/PHARMACY #2923	3250 HARDEN ST. EXT. SUITE #300	COLUMBIA	SC	29203	04/15/2022	07/01/2022		07/01/2022
Contract Detail	RDS DETROIT, INC.	RITE AID #4543	22521 MICHIGAN AVENUE	DEARBORN	MI	48124	04/03/2018	07/01/2018	08/15/2024	08/15/2024
Contract Detail	RITE AID OF MICHIGAN, INC.	RITE AID #4829	2249 NORTH CANTON CENTER ROAD	CANTON	MI	48187	10/16/2015	01/01/2016	02/04/2019	02/05/2019
Contract Detail	RITE AID OF MICHIGAN, INC.	RITE AID #4420	1002 EAST GRAND RIVER AVE.	HOWELL	MI	48843	10/16/2015	01/01/2016	01/26/2024	01/26/2024
Contract Detail	RITE AID OF MICHIGAN, INC.	RITE AID #7877	75 S DEXTER STREET	PINCKNEY	MI	48169	10/16/2015	01/01/2016	08/08/2024	08/08/2024
Contract Detail	RITE AID OF MICHIGAN, INC.	RITE AID #3657	800 WEST ANN ARBOR ROAD	PLYMOUTH	MI	48170	10/16/2015	01/01/2016	08/15/2024	08/15/2024
Contract Detail	RITE AID OF MICHIGAN, INC.	RITE AID #4230	25610 PONTIAC TRAIL	SOUTH LYON	MI	48178	10/16/2015	01/01/2016	07/16/2024	07/16/2024
Contract Detail	RITE AID OF MICHIGAN, INC.	RITE AID #4966	35363 FORD ROAD	WESTLAND	MI	48185	04/03/2018	07/01/2018	03/31/2018	06/29/2018
Contract Detail	RITE AID OF MICHIGAN, INC.	RITE AID #3667	4001 DAVISON ROAD SUITE A	BURTON	MI	48509	04/03/2018	07/01/2018	09/06/2023	09/15/2023
Contract Detail	RITE AID OF MICHIGAN, INC.	RITE AID #4696	10 SOUTH ORTONVILLE ROAD	ORTONVILLE	MI	48462	04/03/2018	07/01/2018	01/31/2022	02/07/2022
Contract Detail	RITE AID OF MICHIGAN, INC.	RITE AID #1265	2255 SOUTH JACKSON ROAD	JACKSON	MI	49201	04/03/2018	07/01/2018	08/15/2024	08/15/2024
Contract Detail	RITE AID OF MICHIGAN, INC.	RITE AID #4927	180 LILLEY ROAD	CANTON	MI	48188	04/03/2018	07/01/2018	02/05/2019	02/05/2019
Contract Detail	RITE AID OF MICHIGAN, INC.	RITE AID #7824	4151 S CANTON CENTER ROAD	CANTON	MI	48188	04/03/2018	07/01/2018	12/06/2023	12/07/2023
Contract Detail	RITE AID OF MICHIGAN, INC.	RITE AID #1729	218 WEST MAIN STREET	FLUSHING	MI	48433	04/03/2018	07/01/2018	07/11/2024	07/11/2024
Contract Detail	RITE AID OF MICHIGAN, INC.	RITE AID #3315	2985 MAIN STREET	MARLETTE	MI	48453	04/03/2018	07/01/2018	07/10/2024	07/10/2024
Contract Detail	RITE AID OF MICHIGAN, INC.	RITE AID #1663	419 WEST MAIN STREET	GAYLORD	MI	49735	04/03/2018	07/01/2018	07/17/2024	07/17/2024
Contract Detail	RITE AID OF MICHIGAN, INC.	RITE AID #4011	111 E SAGINAW STREET	EAST LANSING	MI	48823	04/03/2018	07/01/2018	07/25/2024	07/25/2024
Contract Detail	RITE AID OF MICHIGAN, INC.	RITE AID #4300	47300 PONTIAC TRAIL	WIXOM	MI	48393	04/03/2018	07/01/2018	10/22/2023	10/22/2023
Contract Detail	RITE AID OF MICHIGAN, INC.	RITE AID #7810	842 S STATE STREET	BIG RAPIDS	MI	49307	04/03/2018	07/01/2018	07/17/2024	07/17/2024
Contract Detail	RITE AID OF MICHIGAN, INC.	RITE AID #3452	602 WEST BROAD STREET	LINDEN	MI	48451	04/03/2018	07/01/2018	07/10/2024	07/10/2024
Contract Detail	RITE AID OF MICHIGAN, INC.	RITE AID #3312	8531 LANSING HIGHWAY	DURAND	MI	48429	04/03/2018	07/01/2018	08/21/2024	08/21/2024
Contract Detail	RITE AID OF MICHIGAN, INC.	RITE AID #3253	161 BEECH STREET PO BOX 376	HARRISON	MI	48625	04/03/2018	07/01/2018	07/01/2024	07/02/2024
Contract Detail	RITE AID OF MICHIGAN, INC.	RITE AID #1822	1950 WEST CENTRE AVENUE	PORTAGE	MI	49024	04/03/2018	07/01/2018	08/08/2024	08/08/2024
Contract Detail	RITE AID OF MICHIGAN, INC.	RITE AID #7869	42481 WEST 13 MILE ROAD	NOVI	MI	48377	04/03/2018	07/01/2018	04/19/2024	07/03/2024
Contract Detail	RITE AID OF MICHIGAN, INC.	RITE AID #1486	1705 WEST MT HOPE AVENUE	LANSING	MI	48910	04/03/2018	07/01/2018	01/31/2022	02/07/2022
Contract Detail	RITE AID OF MICHIGAN, INC.	RITE AID #4239	6535 PAW PAW AVENUE	COLOMA	MI	49038	04/03/2018	07/01/2018	07/24/2024	07/24/2024
Contract Detail	RITE AID OF MICHIGAN, INC.	RITE AID #1612	2263 CEDAR STREET	HOLT	MI	48842	04/03/2018	07/01/2018	07/22/2024	07/22/2024
Contract Detail	RITE AID OF MICHIGAN, INC.	RITE AID #4345	27401 WEST SIX MILE ROAD	LIVONIA	MI	48152	04/03/2018	07/01/2018	11/29/2022	07/19/2023
Contract Detail	RITE AID OF MICHIGAN, INC.	RITE AID #4956	5370 EAST HILL ROAD	GRAND BLANC	MI	48439	04/03/2018	07/01/2018	07/01/2024	07/02/2024
Contract Detail	RITE AID OF MICHIGAN, INC.	RITE AID #4238	3681 SHAWNEE ROAD	BRIDGMAN	MI	49106	04/03/2018	07/01/2018	12/13/2023	12/13/2023
Contract Detail	RITE AID OF MICHIGAN, INC.	RITE AID #1609	1664 WEST GRAND RIVER AVENUE	OKEMOS	MI	48864	04/03/2018	07/01/2018	07/23/2024	07/23/2024
Contract Detail	RITE AID OF MICHIGAN, INC.	RITE AID #1519	EDISON PLAZA 2036 LAKE MICHIGAN DRIVE NW	GRAND RAPIDS	MI	49504	10/03/2018	01/01/2019	07/31/2024	07/31/2024
Contract Detail	RITE AID OF MICHIGAN, INC.	RITE AID #4228	39 KRISTIAN STREET	SANDUSKY	MI	48471	10/03/2018	01/01/2019	08/21/2024	08/21/2024
Contract Detail	RITE AID OF MICHIGAN, INC.	RITE AID #1025	46977 ROMEO PLANK ROAD	MACOMB TWP	MI	48044	04/15/2020	07/01/2020	08/07/2024	08/07/2024
Contract Detail	RITE AID OF MICHIGAN, INC.	RITE AID #1474	1434 WEST MICHIGAN AVENUE	BATTLE CREEK	MI	49037	04/15/2020	07/01/2020	07/01/2024	07/02/2024
Contract Detail	RITE AID OF MICHIGAN, INC.	RITE AID #1483	13157 1/2 SCHAVEY ROAD	DEWITT	MI	48820	04/15/2020	07/01/2020	07/22/2024	07/22/2024
Contract Detail	RITE AID OF MICHIGAN, INC.	RITE AID #1530	715 SOUTH CLINTON STREET	GRAND LEDGE	MI	48837	04/15/2020	07/01/2020	11/08/2023	11/08/2023
Contract Detail	RITE AID OF MICHIGAN, INC.	RITE AID #1551	6155 DIXIE HWY PO BOX 100	BRIDGEPORT	MI	48722-9618	04/15/2020	07/01/2020	07/29/2024	07/29/2024
Contract Detail	RITE AID OF MICHIGAN, INC.	RITE AID #1587	4519 RICHFIELD ROAD	FLINT	MI	48506	04/15/2020	07/01/2020	06/26/2024	07/02/2024
Contract Detail	RITE AID OF MICHIGAN, INC.	RITE AID #1611	2489 EAST LAKE LANSING ROAD	EAST LANSING	MI	48823	04/15/2020	07/01/2020	07/29/2024	07/29/2024
Contract Detail	RITE AID OF MICHIGAN, INC.	RITE AID #1691	1133 NORTH US 31	PETOSKEY	MI	49770	04/15/2020	07/01/2020	07/08/2024	07/08/2024
Contract Detail	RITE AID OF MICHIGAN, INC.	RITE AID #1715	101 SOUTH MORENCI STREET	MIO	MI	48647	04/15/2020	07/01/2020	01/31/2022	02/07/2022
Contract Detail	RITE AID OF MICHIGAN, INC.	RITE AID #2425	600 NORTH AVENUE	BATTLE CREEK	MI	49017	04/15/2020	07/01/2020	01/31/2022	02/07/2022
Contract Detail	RITE AID OF MICHIGAN, INC.	RITE AID #2473	5280 NORTH HURON ROAD	OSCODA	MI	48750	04/15/2020	07/01/2020	08/21/2024	08/21/2024
Contract Detail	RITE AID OF MICHIGAN, INC.	RITE AID #2549	301 SOUTH MAIN STREET	STANDISH	MI	48658	04/15/2020	07/01/2020	08/19/2024	08/19/2024
Contract Detail	RITE AID OF MICHIGAN, INC.	RITE AID #2711	450 EAST CHICAGO STREET	COLDWATER	MI	49036	04/15/2020	07/01/2020	04/10/2023	07/19/2023
Contract Detail	RITE AID OF MICHIGAN, INC.	RITE AID #2760	352 NORTH ROSS STREET	BEAVERTON	MI	48612	04/15/2020	07/01/2020	07/29/2024	07/29/2024
Contract Detail	RITE AID OF MICHIGAN, INC.	RITE AID #3497	15242 NORTH HOLLY ROAD	HOLLY	MI	48442	04/15/2020	07/01/2020	08/06/2024	08/06/2024
Contract Detail	RITE AID OF MICHIGAN, INC.	RITE AID #3510	337 NORTH STATE ROAD	OTISVILLE	MI	48463	04/15/2020	07/01/2020	01/31/2022	02/07/2022
Contract Detail	RITE AID OF MICHIGAN, INC.	RITE AID #3967	1019 WEST SAGINAW STREET	LANSING	MI	48915	04/15/2020	07/01/2020	01/31/2022	02/07/2022
Contract Detail	RITE AID OF MICHIGAN, INC.	RITE AID #4232	3106 EAST SAGINAW STREET	LANSING	MI	48912	04/15/2020	07/01/2020	07/17/2024	07/17/2024
Contract Detail	RITE AID OF MICHIGAN, INC.	RITE AID #4233	15893 WEST MICHIGAN AVENUE	MARSHALL	MI	49068	04/15/2020	07/01/2020	08/13/2024	08/13/2024
Contract Detail	RITE AID OF MICHIGAN, INC.	RITE AID #4460	37355 8 MILE ROAD	LIVONIA	MI	48152	04/15/2020	07/01/2020	09/05/2023	09/15/2023
Contract Detail	RITE AID OF MICHIGAN, INC.	RITE AID #4740	1339 EAST GRAND RIVER AVE.	PORTLAND	MI	48875	04/15/2020	07/01/2020	07/09/2024	07/09/2024
Contract Detail	RITE AID OF MICHIGAN, INC.	RITE AID #4761	1124 NORTH BALLENGER HWY.	FLINT	MI	48504	04/15/2020	07/01/2020	09/14/2023	09/15/2023
Contract Detail	RITE AID OF MICHIGAN, INC.	RITE AID #4765	681 NORTH MAIN STREET	PERRY	MI	48872	04/15/2020	07/01/2020	08/19/2024	08/19/2024
Contract Detail	RITE AID OF MICHIGAN, INC.	RITE AID #4770	2701 SOUTH CEDAR STREET	LANSING	MI	48910	04/15/2020	07/01/2020	09/14/2023	09/15/2023
Contract Detail	RITE AID OF MICHIGAN, INC.	RITE AID #4806	6026 LAPEER ROAD	BURTON	MI	48509	04/15/2020	07/01/2020	06/27/2024	07/02/2024
Contract Detail	RITE AID OF MICHIGAN, INC.	RITE AID #4977	2635 HENRY STREET	MUSKEGON	MI	49441	04/15/2020	07/01/2020	11/20/2023	12/07/2023
Contract Detail	RITE AID OF MICHIGAN, INC.	RITE AID #7733	2506 EAST HILL ROAD	GRAND BLANC	MI	48439	04/15/2020	07/01/2020	01/28/2022	03/03/2022
Contract Detail	RITE AID OF MICHIGAN, INC.	RITE AID #7738	521 NORTH STATE ROAD	DAVISON	MI	48423	04/15/2020	07/01/2020	07/18/2024	07/18/2024
Contract Detail	RITE AID OF MICHIGAN, INC.	RITE AID #7912	5751 CLARKSTON ROAD	CLARKSTON	MI	48348	04/15/2020	07/01/2020	01/31/2022	02/07/2022
Contract Detail	RITE AID OF OHIO, INC.	RITE AID #6679	105 GOLDEN GATE PLAZA	MAUMEE	OH	43537	04/03/2018	07/01/2018	07/23/2024	07/23/2024
Contract Detail	RITE AID OF OHIO, INC.	RITE AID #3185	940 ELIDA AVENUE	DELPHOS	OH	45833	04/03/2018	07/01/2018	08/07/2024	08/07/2024
Contract Detail	SALINE PHARMACY LLC	75 E BENNETT ST		SALINE	MI	48176-1204	07/10/2018	10/01/2018		10/01/2018
Contract Detail	Sav-On Proos Pharmacy	11912 Whitmore Lake Road		Whitmore Lake	MI	48189	10/11/2011	10/11/2011	11/10/2017	01/04/2018
Contract Detail	SENDERRA RX PHARMACY	SENDERRA RX PARTNERS, LLC	3712 E PLANO PKWY STE 200	PLANO	TX	75074	10/15/2018	01/01/2019		01/01/2019
Contract Detail	STOCKBRIDGE PHARMACY	110 S CLINTON ST		STOCKBRIDGE	MI	49285-9148	07/06/2018	10/01/2018		10/01/2018
Contract Detail	SUPER-X DRUGS CORPORATION	DBA THE KROGER CO OF MICH#688	400 S. MAPLE ROAD	ANN ARBOR	MI	48103	06/27/2012	06/27/2012	07/22/2024	07/22/2024
Contract Detail	SUPERX DRUG CORPORATION	DBA THE KROGER CO #691	36430 FORD ROAD	WESTLAND	MI	48185	04/10/2019	07/01/2019	07/22/2024	07/22/2024
Contract Detail	SUPERX DRUG CORPORATION	DBA KROGER CO #635	2910 CENTER AVENUE	ESSEXVILLE	MI	48732	07/03/2019	10/01/2019	07/22/2024	07/22/2024
Contract Detail	SUPERX DRUGS CORP	DBA THE KROGER CO OF MI 600	540 S MAIN ST	LAPEER	MI	48446	07/03/2019	10/01/2019	07/22/2024	07/22/2024
Contract Detail	SUPERX DRUGS CORPORATION	DBA THE KROGER CO OF MI 605	2641 PLYMOUTH ROAD	ANN ARBOR	MI	48105	06/27/2012	06/27/2012		03/15/2016
Contract Detail	SUPERX DRUGS CORPORATION	DBA: THE KROGER CO OF MI #889	4080 E. BLUEGRASS	MT PLEASANT	MI	48858	07/03/2019	10/01/2019	06/30/2020	11/03/2020
Contract Detail	THE KROGER CO MICHIGAN 686	7000 MONROE		TAYLOR	MI	48180	07/03/2019	10/01/2019	07/22/2024	07/22/2024
Contract Detail	THE KROGER CO OF MI #526	670 HIGHLAND AVENUE		MILFORD	MI	48381	07/03/2019	10/01/2019	07/22/2024	07/22/2024
Contract Detail	THE KROGER CO OF MI #620	6625 DIXIE HWY		CLARKSTON	MI	48346	07/03/2019	10/01/2019	07/22/2024	07/22/2024
Contract Detail	THE KROGER CO OF MI #684	21555 21 MILE RD		MACOMB	MI	48044	07/03/2019	10/01/2019	07/22/2024	07/22/2024
Contract Detail	THE KROGER CO OF MI #793	4884 MARSH ROAD		OKEMOS	MI	48864	07/03/2019	10/01/2019	07/22/2024	07/22/2024
Contract Detail	THE KROGER CO OF MICHIGAN	KROGER PHARMACY #638	9968 EAST GRAND RIVER AVENUE	BRIGHTON	MI	48116	07/05/2018	10/01/2018		10/01/2018
Contract Detail	THE KROGER CO OF MICHIGAN	44525 ANN ARBOR RD		PLYMOUTH	MI	48170	07/05/2018	10/01/2018		10/01/2018
Contract Detail	THE KROGER CO OF MICHIGAN	20730 PONTIAC TRAIL		SOUTH LYON	MI	48178	07/05/2018	10/01/2018	07/22/2024	07/22/2024
Contract Detail	THE KROGER CO OF MICHIGAN	KROGER PHARMACY #671	1905 CANTON CENTER ROAD	CANTON	MI	48187	07/05/2018	10/01/2018	07/22/2024	07/22/2024
Contract Detail	THE KROGER CO OF MICHIGAN	30935 W FIVE MILE RD		LIVONIA	MI	48154	04/10/2019	07/01/2019	07/22/2024	07/22/2024
Contract Detail	THE KROGER CO OF MICHIGAN	23303 MICHIGAN AVENUE		DEARBORN	MI	48124	04/10/2019	07/01/2019	07/22/2024	07/22/2024
Contract Detail	THE KROGER CO OF MICHIGAN	2808 ASHMAN		MIDLAND	MI	48640	07/03/2019	10/01/2019	07/22/2024	07/22/2024
Contract Detail	THE KROGER CO OF MICHIGAN	435 N MAIN STREET		FRANKENMUTH	MI	48734	07/03/2019	10/01/2019	07/22/2024	07/22/2024
Contract Detail	THE KROGER CO OF MICHIGAN #444	10059 E HIGHLAND RD.		HOWELL	MI	48843	04/10/2019	07/01/2019	07/22/2024	07/22/2024
Contract Detail	THE KROGER CO OF MICHIGAN #650	4888 N ADAMS RD		OAKLAND	MI	48306	07/03/2019	10/01/2019	07/22/2024	07/22/2024
Contract Detail	THE KROGER CO OF MICHIGAN 442	17447 HAGGERTY		NORTHVILLE	MI	48168	04/10/2019	07/01/2019	07/22/2024	07/22/2024
Contract Detail	THE KROGER CO OF MICHIGAN 448	1237 N. COOLIDGE HWY.		TROY	MI	48084	07/03/2019	10/01/2019	07/22/2024	07/22/2024
Contract Detail	THE KROGER CO OF MICHIGAN 458	23849 WEST ROAD		BROWNSTOWN TOWNSHIP	MI	48134	07/03/2019	10/01/2019	07/22/2024	07/22/2024
Contract Detail	THE KROGER CO OF MICHIGAN 708	20645 GIBRALTAR RD.		BROWNSTOWN	MI	48183	07/03/2019	10/01/2019	07/22/2024	07/22/2024
Contract Detail	THE KROGER CO OF MICHIGAN 795	1315 EAST MAIN		OWOSSO	MI	48867-9039	07/03/2019	10/01/2019	07/22/2024	07/22/2024
Contract Detail	THE KROGER CO OF MICHIGAN 887	2495 N CEDAR ST		HOLT	MI	48842	07/03/2019	10/01/2019	07/22/2024	07/22/2024
Contract Detail	THE KROGER PHARMACY 738	4672 STATE STREET		SAGINAW	MI	48603-3805	07/03/2019	10/01/2019	07/22/2024	07/22/2024
Contract Detail	THE LANE DRUG COMPANY	RITE AID #2326	1175 LOUISIANA AVE	PERRYSBURG	OH	43551	04/03/2018	07/01/2018	01/31/2022	02/07/2022
Contract Detail	THE LANE DRUG COMPANY	RITE AID #2316	3325 WEST CENTRAL AVENUE	TOLEDO	OH	43606	04/15/2020	07/01/2020	01/31/2022	02/07/2022
Contract Detail	UNIVERSITY OF MICHIGAN	HEALTH SERVICE PHARMACY	207 FLETCHER STREET	ANN ARBOR	MI	48109	01/09/2019	04/01/2019	12/31/2021	02/03/2022
Contract Detail	VG'S PHARMACY #1920	2400 W. GRAND RIVER		HOWELL	MI	48843-8585	07/05/2018	10/01/2018		10/01/2018
Contract Detail	VG'S PHARMACY #1921	18005 SILVER PARKWAY		FENTON	MI	48430-3421	07/05/2018	10/01/2018		10/01/2018
Contract Detail	VG'S PHARMACY #1927	1390 N. LEROY		FENTON	MI	48430-2762	10/03/2018	01/01/2019		01/01/2019
Contract Detail	VG'S PHARMACY #1932	1341 N. M-52		OWOSSO	MI	48867-1232	10/03/2018	01/01/2019		01/01/2019
Contract Detail	VILLAGE PHARMACY II (SASCO VILLAGE, LLC)		325 N. MAPLE RD	ANN ARBOR	MI	48103	03/13/2012	03/13/2012	08/12/2015	03/15/2016
Contract Detail	WAL-MART CENTRAL FILL 10-2670	608 SPRING HILL DR # 3 SUITE 300		SPRING	TX	77386	07/05/2018	10/01/2018		10/01/2018
Contract Detail	WAL-MART PHARMACY 10-1445	2826 E. HARBOR ROAD		PORT CLINTON	OH	43452	04/12/2018	07/01/2018	01/31/2022	02/07/2022
Contract Detail	WAL-MART PHARMACY 10-1542	950 EDLEWEISS PARKWAY		GAYLORD	MI	49735	04/12/2018	07/01/2018	04/01/2025	04/01/2025
Contract Detail	WAL-MART PHARMACY 10-1592	901 N VAN DYKE		BAD AXE	MI	48413	04/12/2018	07/01/2018	04/01/2025	04/01/2025
Contract Detail	WAL-MART PHARMACY 10-1593	800 EAST CHICAGO STREET		COLDWATER	MI	49036	04/12/2018	07/01/2018	04/01/2025	04/01/2025
Contract Detail	WAL-MART PHARMACY 10-1611	4845 24TH AVENUE		FORT GRATIOT	MI	48059	04/12/2018	07/01/2018	01/31/2022	02/07/2022
Contract Detail	WAL-MART PHARMACY 10-1668	6590 GRAND AVE		GURNEE	IL	60031	04/12/2018	07/01/2018	01/31/2022	02/07/2022
Contract Detail	WAL-MART PHARMACY 10-1719	21400 PERRY ST		BIG RAPIDS	MI	49307	04/12/2018	07/01/2018	04/01/2025	04/01/2025
Contract Detail	WAL-MART PHARMACY 10-1733	1621 EAST M-21		OWOSSO	MI	48867	04/12/2018	07/01/2018	04/01/2025	04/01/2025
Contract Detail	WAL-MART PHARMACY 10-1752	3921 WILDER RD		BAY CITY	MI	48706	04/12/2018	07/01/2018	01/31/2022	02/07/2022
Contract Detail	WAL-MART PHARMACY 10-1754	3850 GRAND RIVER EAST		HOWELL	MI	48843	04/12/2018	07/01/2018		04/12/2018
Contract Detail	WAL-MART PHARMACY 10-1790	2150 N TELEGRAPH RD		MONROE	MI	48162	04/12/2018	07/01/2018	04/01/2025	04/01/2025
Contract Detail	WAL-MART PHARMACY 10-1798	1121 E CARO RD		CARO	MI	48723	04/12/2018	07/01/2018	04/01/2025	04/01/2025
Contract Detail	WAL-MART PHARMACY 10-1809	701 OLDS STREET		JONESVILLE	MI	49250	04/12/2018	07/01/2018	04/01/2025	04/01/2025
Contract Detail	WAL-MART PHARMACY 10-1824	2515 ELLSWORTH RD		YPSILANTI	MI	48197	04/12/2018	07/01/2018	03/20/2020	05/06/2020
Contract Detail	WAL-MART PHARMACY 10-1836	1601 EAST U.S. 223		ADRIAN	MI	49221	04/12/2018	07/01/2018	04/01/2025	04/01/2025
Contract Detail	WAL-MART PHARMACY 10-1923	3999 ALPINE AVE		COMSTOCK PARK	MI	49321	04/12/2018	07/01/2018	01/31/2022	02/07/2022
Contract Detail	WAL-MART PHARMACY 10-1928	4313 CORUNNA RD		FLINT	MI	48532	04/12/2018	07/01/2018		04/12/2018
Contract Detail	WAL-MART PHARMACY 10-1936	3763 I-75 BUSINESS SPUR		SAULT SAINTE MARIE	MI	49783	04/12/2018	07/01/2018	04/01/2025	04/01/2025
Contract Detail	WAL-MART PHARMACY 10-2010	2107 S 11TH ST		NILES	MI	49120	04/12/2018	07/01/2018	01/31/2022	02/07/2022
Contract Detail	WAL-MART PHARMACY 10-2014	2129 WEST HOUGHTON LAKE DRIVE		HOUGHTON LAKE	MI	48629	04/12/2018	07/01/2018	04/01/2025	04/01/2025
Contract Detail	WAL-MART PHARMACY 10-2061	412 CROSS OAKS MALL		PLAINWELL	MI	49080	04/12/2018	07/01/2018	01/31/2022	02/07/2022
Contract Detail	WAL-MART PHARMACY 10-2079	3225 U.S. HWY 41 WEST		MARQUETTE	MI	49855	04/12/2018	07/01/2018	04/01/2025	04/01/2025
Contract Detail	WAL-MART PHARMACY 10-2080	6020 B DRIVE NORTH		BATTLE CREEK	MI	49014	04/12/2018	07/01/2018	04/01/2025	04/01/2025
Contract Detail	WAL-MART PHARMACY 10-2100	1150 SOUTH MAIN		CHEBOYGAN	MI	49721	04/12/2018	07/01/2018	01/31/2022	02/07/2022
Contract Detail	WAL-MART PHARMACY 10-2192	995 RAZORBACK DR		HOUGHTON	MI	49931	04/12/2018	07/01/2018	01/31/2022	02/07/2022
Contract Detail	WAL-MART PHARMACY 10-2238	1879 E SHERMAN BLVD		MUSKEGON	MI	49444	04/12/2018	07/01/2018	01/31/2022	02/07/2022
Contract Detail	WAL-MART PHARMACY 10-2273	5323 E COURT ST NORTH		BURTON	MI	48509	04/12/2018	07/01/2018	04/01/2025	04/01/2025
Contract Detail	WAL-MART PHARMACY 10-2354	2500 S. ADAMS STREET		ROCHESTER	MI	48309	04/12/2018	07/01/2018	04/01/2025	04/01/2025
Contract Detail	WAL-MART PHARMACY 10-2358	1180 M-32 WEST		ALPENA	MI	49707	04/12/2018	07/01/2018	04/01/2025	04/01/2025
Contract Detail	WAL-MART PHARMACY 10-2417	1850 ANDERSON RD		PETOSKEY	MI	49770	04/12/2018	07/01/2018	04/01/2025	04/01/2025
Contract Detail	WAL-MART PHARMACY 10-2618	3301 N PONTIAC TRL		COMMERCE TOWNSHIP	MI	48390	04/12/2018	07/01/2018	04/01/2025	04/01/2025
Contract Detail	WAL-MART PHARMACY 10-2619	910 JOE MANN BLVD		MIDLAND	MI	48642	04/12/2018	07/01/2018		04/12/2018
Contract Detail	WAL-MART PHARMACY 10-2631	29555 PLYMOUTH RD		LIVONIA	MI	48150	04/12/2018	07/01/2018	04/01/2025	04/01/2025
Contract Detail	WAL-MART PHARMACY 10-2644	5825 BROCKWAY ROAD		SAGINAW	MI	48638	04/12/2018	07/01/2018	04/01/2025	04/01/2025
Contract Detail	WAL-MART PHARMACY 10-2692	45400 MARKET PLACE BLVD.		CHESTERFIELD	MI	48051	04/12/2018	07/01/2018	01/31/2022	02/07/2022
Contract Detail	WAL-MART PHARMACY 10-2693	3700 OWEN ROAD		FENTON	MI	48430	04/12/2018	07/01/2018		04/12/2018
Contract Detail	WAL-MART PHARMACY 10-2700	9190 HIGHLAND ROAD		WHITE LAKE	MI	48386	04/12/2018	07/01/2018	04/01/2025	04/01/2025
Contract Detail	WAL-MART PHARMACY 10-2867	3225 TOWNE CENTRE BLVD		LANSING (N)	MI	48912	04/12/2018	07/01/2018	04/01/2025	04/01/2025
Contract Detail	WAL-MART PHARMACY 10-2869	409 N. MARKET PLACE BLVD		LANSING (W)	MI	48917	04/12/2018	07/01/2018	04/01/2025	04/01/2025
Contract Detail	WAL-MART PHARMACY 10-2872	10562 BELLEVILLE ROAD		VAN BUREN TOWNSHIP	MI	48111	04/12/2018	07/01/2018	04/01/2025	04/01/2025
Contract Detail	WAL-MART PHARMACY 10-2912	7555 TELEGRAPH ROAD		TAYLOR	MI	48180	04/12/2018	07/01/2018	04/01/2025	04/01/2025
Contract Detail	WAL-MART PHARMACY 10-3336	23800 ALLEN ROAD		WOODHAVEN	MI	48183	04/12/2018	07/01/2018	04/01/2025	04/01/2025
Contract Detail	WAL-MART PHARMACY 10-3445	1355 SOUTH MCCORD ROAD		HOLLAND	OH	43528	04/12/2018	07/01/2018	01/31/2022	02/07/2022
Contract Detail	WAL-MART PHARMACY 10-3476	39500 FORD ROAD		CANTON	MI	48187	04/12/2018	07/01/2018		04/12/2018
Contract Detail	WAL-MART PHARMACY 10-3632	655 WEST SANILAC ROAD		SANDUSKY	MI	48471	04/12/2018	07/01/2018	04/01/2025	04/01/2025
Contract Detail	WAL-MART PHARMACY 10-3726	6170 SOUTH SAGINAW ROAD		GRAND BLANC	MI	48439	04/12/2018	07/01/2018	04/01/2025	04/01/2025
Contract Detail	WAL-MART PHARMACY 10-4243	11493 NORTH LINDEN ROAD		CLIO	MI	48420	04/12/2018	07/01/2018	04/01/2025	04/01/2025
Contract Detail	WAL-MART PHARMACY 10-4383	5851 MERCURY DRIVE		DEARBORN	MI	48126	04/12/2018	07/01/2018	01/31/2022	02/07/2022
Contract Detail	WAL-MART PHARMACY 10-4540	970 GEHRINGER DRIVE		FOWLERVILLE	MI	48836	04/12/2018	07/01/2018		04/12/2018
Contract Detail	WAL-MART PHARMACY 10-5028	2925 GLENDALE AVE		TOLEDO(C)	OH	43614	04/12/2018	07/01/2018	04/01/2025	04/01/2025
Contract Detail	WAL-MART PHARMACY 10-5030	5821 CENTRAL AVE WEST		TOLEDO (NW)	OH	43615	04/12/2018	07/01/2018	01/31/2022	02/07/2022
Contract Detail	WAL-MART PHARMACY 10-5048	30729 LYON CENTER DR EAST		NEW HUDSON	MI	48165	04/12/2018	07/01/2018		04/12/2018
Contract Detail	WAL-MART PHARMACY 10-5064	6065 GULL RD		KALAMAZOO	MI	49048	04/12/2018	07/01/2018	01/31/2022	02/07/2022
Contract Detail	WAL-MART PHARMACY 10-5065	501 SOUTH 9TH STREET		KALAMAZOO(NW)	MI	49009	04/12/2018	07/01/2018	01/31/2022	02/07/2022
Contract Detail	WAL-MART PHARMACY 10-5097	5650 BAY RD		SAGINAW	MI	48604	04/12/2018	07/01/2018	01/31/2022	02/07/2022
Contract Detail	WAL-MART PHARMACY 10-5159	2750 COOK RD		WEST BRANCH	MI	48661	04/12/2018	07/01/2018	04/01/2025	04/01/2025
Contract Detail	WAL-MART PHARMACY 10-5160	1700 W MICHIGAN AVE		JACKSON(W)	MI	49202	04/12/2018	07/01/2018	04/01/2025	04/01/2025
Contract Detail	WAL-MART PHARMACY 10-5280	8350 SHAVER ROAD		PORTAGE	MI	49024	04/12/2018	07/01/2018	01/31/2022	02/07/2022
Contract Detail	WAL-MART PHARMACY 10-5315	2354 COMMERCE PARK DR.		ORLANDO	FL	32819	04/12/2018	07/01/2018		04/12/2018
Contract Detail	WAL-MART PHARMACY 10-5376	621 EAST LAKE STREET		TAWAS CITY	MI	48763	04/12/2018	07/01/2018		04/12/2018
Contract Detail	WAL-MART PHARMACY 10-5386	14700 US 31		GRAND HAVEN	MI	49417	04/12/2018	07/01/2018	01/31/2022	02/07/2022
Contract Detail	WAL-MART PHARMACY 10-5472	7000 EAST MICHIGAN AVENUE		SALINE	MI	48176	04/12/2018	07/01/2018	04/01/2025	04/01/2025
Contract Detail	WAL-MART PHARMACY 10-5842	14900 DIX TOLEDO		SOUTHGATE	MI	48195	04/12/2018	07/01/2018		04/12/2018
Contract Detail	WAL-MART PHARMACY 10-5844	29574 7 MILE ROAD		LIVONIA	MI	48152	04/12/2018	07/01/2018	04/01/2025	04/01/2025
Contract Detail	WAL-MART PHARMACY 10-5997	9600 PARKSOUTH CT. SUITE 100		ORLANDO	FL	32837	07/05/2018	10/01/2018		10/01/2018
Contract Detail	WALGREEN CO	DBA: WALGREENS #11156	419 E MICHIGAN AVE	YPSILANTI	MI	48198	04/18/2013	07/01/2013	11/06/2019	03/31/2021
Contract Detail	WALGREEN CO	DBA: WALGREENS #10778	22318 PONTIAC TRAIL	SOUTH LYON	MI	48178	10/14/2016	01/01/2017		10/14/2016
Contract Detail	WALGREEN CO	DBA: WALGREENS #12288	100 CABELAS BLVD., E	DUNDEE	MI	48131	10/14/2016	01/01/2017		10/14/2016
Contract Detail	WALGREEN CO	DBA: WALGREENS #10777	140 S. MILFORD ROAD	MILFORD	MI	48381	04/03/2018	07/01/2018	11/15/2023	12/15/2023
Contract Detail	WALGREEN CO	DBA: WALGREENS #12346	903 N MISSION	MOUNT PLEASANT	MI	48858	01/09/2019	04/01/2019		04/01/2019
Contract Detail	WALGREEN CO	DBA: WALGREENS #11456	25700 FORD RD	DEARBORN HEIGHTS	MI	48127	07/02/2020	10/01/2020		10/01/2020
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 05398	2170 WASHTENAW ROAD	YPSILANTI	MI	48197	04/18/2013	07/01/2013		03/15/2016
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 05842	3255 WASHTENAW AVE	ANN ARBOR	MI	48104-4201	04/18/2013	07/01/2013		03/15/2016
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 06550	44300 FORD RD	CANTON	MI	48187-3169	04/18/2013	07/01/2013		03/15/2016
Contract Detail	WALGREEN CO.	DBA: WALGREENS #11197	2355 JACKSON AVE	ANN ARBOR	MI	48103	04/18/2013	07/01/2013		03/15/2016
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 01910	2321 E GRAND RIVER AVE	HOWELL	MI	48843-7549	10/14/2016	01/01/2017		10/14/2016
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 05170	8720 W GRAND RIVER AVE	BRIGHTON	MI	48116-2307	10/14/2016	01/01/2017		10/14/2016
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 07065	3270 W SILVER LAKE RD	FENTON	MI	48430-1374	10/14/2016	01/01/2017		10/14/2016
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 07275	10276 BELLEVILLE RD	VAN BUREN TOWNSHIP	MI	48111	10/14/2016	01/01/2017		10/14/2016
Contract Detail	WALGREEN CO.	DBA: WALGREENS #12820	1330 W CHICAGO BLVD	TECUMSEH	MI	49286-9769	10/14/2016	01/01/2017		10/14/2016
Contract Detail	WALGREEN CO.	DBA WALGREENS #15650	317 S. STATE STREET	ANN ARBOR	MI	48104-2020	10/17/2016	01/01/2017		10/17/2016
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 05707	3040 E MICHIGAN AVE.	JACKSON	MI	49202	04/03/2017	07/01/2017		04/03/2017
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 09133	1314 N WEST AVE	JACKSON	MI	49202	04/03/2017	07/01/2017		04/03/2017
Contract Detail	WALGREEN CO.	DBA: WALGREENS #10499	10081 HIGHLAND RD	HARTLAND	MI	48353	04/03/2017	07/01/2017	11/17/2022	06/14/2023
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 04298	29200 6 MILE ROAD	LIVONIA	MI	48152	04/03/2018	07/01/2018		04/03/2018
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 04933	8850 NEWBURGH RD.	LIVONIA	MI	48150	04/03/2018	07/01/2018		04/03/2018
Contract Detail	WALGREEN CO.	DBA: WALGREENS #12267	33239 8 MILE RD	LIVONIA	MI	48152	04/03/2018	07/01/2018	03/26/2025	04/01/2025
Contract Detail	WALGREEN CO.	DBA: WALGREENS #21258	26000 5 MILE RD	REDFORD	MI	48239	04/03/2018	07/01/2018	02/08/2022	02/17/2022
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 09252	2821 E HIGHLAND RD	HIGHLAND	MI	48356-2763	04/03/2018	07/01/2018		04/03/2018
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 06359	33333 6 MILE RD	LIVONIA	MI	48152	04/03/2018	07/01/2018		04/03/2018
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 10359	17001 NEWBURGH RD	LIVONIA	MI	48154-1610	04/03/2018	07/01/2018		04/03/2018
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 06313	27750 GRAND RIVER AVE	FARMINGTON HILLS	MI	48336	04/03/2018	07/01/2018	03/18/2025	04/01/2025
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 04454	24100 NOVI RD.	NOVI	MI	48375	04/03/2018	07/01/2018		04/03/2018
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 05290	24140 ORCHARD LAKE RD	FARMINGTON HILLS	MI	48336	04/03/2018	07/01/2018		04/03/2018
Contract Detail	WALGREEN CO.	DBA WALGREENS SPECIALTY PHARMACY #21156	3500 WASHTENAW AVE STE E3	ANN ARBOR	MI	48104	07/05/2018	10/01/2018		10/01/2018
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 10288	196 W CARLETON RD	HILLSDALE	MI	49242-1204	01/09/2019	04/01/2019		04/01/2019
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 04430	120 INKSTER RD	INKSTER	MI	48141	01/09/2019	04/01/2019	03/30/2023	06/14/2023
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 04585	17071 FORT STREET	RIVERVIEW	MI	48193	01/09/2019	04/01/2019		04/01/2019
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 05596	15009 TELEGRAPH ROAD	TAYLOR	MI	48180	01/09/2019	04/01/2019	03/17/2025	04/01/2025
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 07894	5815 GULL RD	KALAMAZOO	MI	49048-1094	01/09/2019	04/01/2019		04/01/2019
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 09146	950 S CENTERVILLE RD	STURGIS	MI	49091-2089	01/09/2019	04/01/2019		04/01/2019
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 09691	1100 PHOENIX ST	SOUTH HAVEN	MI	49090-7912	01/09/2019	04/01/2019		04/01/2019
Contract Detail	WALGREEN CO.	DBA WALGREENS #16098	32910 MIDDLEBELT RD.	FARMINGTON HILLS	MI	48334	01/09/2019	04/01/2019		04/01/2019
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 02023	1285 N MONROE ST	MONROE	MI	48162-3115	07/02/2020	10/01/2020		10/01/2020
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 07206	5709 S TELEGRAPH RD	DEARBORN HEIGHTS	MI	48125-2025	07/02/2020	10/01/2020		10/01/2020
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 07319	706 S MAIN STREET	ADRIAN	MI	49221-3722	07/02/2020	10/01/2020		10/01/2020
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 07854	31415 FORD RD	GARDEN CITY	MI	48135-1821	07/02/2020	10/01/2020		10/01/2020
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 04631	32732 MICHIGAN AVE	WAYNE	MI	48184	07/02/2020	10/01/2020		10/01/2020
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 04297	7210 N MIDDLE BELT ROAD	WESTLAND	MI	48185	07/02/2020	10/01/2020		10/01/2020
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 05169	1700 WEST ROAD	TRENTON	MI	48183	07/02/2020	10/01/2020		10/01/2020
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 04676	5703 S SAGINAW RD	GRAND BLANC	MI	48507	04/13/2021	04/19/2021		04/19/2021
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 05168	23007 TELEGRAPH RD.	BROWNSTOWN	MI	48134	04/13/2021	04/19/2021		04/19/2021
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 05321	484 SOUTH TELEGRAPH ROAD	MONROE	MI	48161	04/13/2021	04/19/2021		04/19/2021
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 07094	7490 HAGGERTY RD	WEST BLOOMFIELD	MI	48322-1067	04/13/2021	04/19/2021		04/19/2021
Contract Detail	Walgreens #21423	Walgreens Central Fill #21423	6275 Winchester Blvd	Canal WInchester	OH	43110-6537	10/16/2023	01/01/2024		01/01/2024
Contract Detail	WALGREENS MAIL SERVICE, INC.		8337 S PARK CIRCLE	ORLANDO	FL	32819-9049	04/18/2013	07/01/2013	06/05/2015	03/15/2016
Contract Detail	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #15438	41460 HAGGERTY CIR S	CANTON	MI	48188	07/17/2015	10/01/2015		03/15/2016
Contract Detail	WALGREENS SPECIALTY PHARMACY, LLC	ALLIANCERX WALGREENS PRIME #12314	9775 SW GEMINI DR, STE 1	BEAVERTON	OR	97008	07/05/2018	10/01/2018	10/01/2021	12/30/2021
Contract Detail	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #16287	130 ENTERPRISE DR	PITTSBURGH	PA	15275	07/05/2018	10/01/2018		10/01/2018
Contract Detail	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #15443	10530 JOHN W ELLIOTT DR STE 100	FRISCO	TX	75033	07/05/2018	10/01/2018		10/01/2018
Contract Detail	WALMART PHARMACY #10-4424	29176 VAN DYKE AVENUE		WARREN	MI	48093	04/12/2018	07/01/2018	01/31/2022	02/07/2022
Contract Detail	WALMART PHARMACY #10-5893	26090 INGERSOL DR		NOVI	MI	48375	04/12/2018	07/01/2018	04/01/2025	04/01/2025
Contract Detail	WALMART PHARMACY 10-5761	45555 MICHIGAN AVE		CANTON	MI	48188	04/12/2018	07/01/2018		04/12/2018
Contract Detail	WALMART PHARMACY 10-7260	8777 PLATT RD		SALINE	MI	48176	04/12/2018	07/01/2018	04/01/2025	04/01/2025
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA: CVS/PHARMACY # 08083	3090 CARPENTER	YPSILANTI	MI	48197	09/05/2012	09/05/2012	04/25/2024	09/20/2024
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA: CVS/PHARMACY # 08088	2100 W. STADIUM BLVD.	ANN ARBOR	MI	48103	09/05/2012	09/05/2012		03/15/2016
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA: CVS/PHARMACY # 08089	935 S. MAIN ST.	CHELSEA	MI	48118	09/05/2012	09/05/2012		03/15/2016
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA: CVS/PHARMACY # 08097	2228 S. MAIN	ANN ARBOR	MI	48103	09/05/2012	09/05/2012		03/15/2016
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA: CVS/PHARMACY # 01758	5408 WHITTAKER RD.	YPSILANTI	MI	48197	09/05/2012	09/05/2012		03/15/2016
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA: CVS/PHARMACY # 08003	413 EAST MICHIGAN	SALINE	MI	48176	09/05/2012	09/05/2012		03/15/2016
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA: CVS/PHARMACY # 08006	3535 PLYMOUTH RD.,	ANN ARBOR	MI	48105	09/05/2012	09/05/2012		03/15/2016
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA: CVS/PHARMACY # 00028	1249 DEXTER ST.	MILAN	MI	48160	10/08/2013	01/01/2014		03/15/2016
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA CVS/PHARMACY # 3584	209 S STATE ST	ANN ARBOR	MI	48104-2005	10/08/2013	01/01/2014		03/15/2016
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA: CVS/PHARMACY # 05741	7488 VILLAGE CENTER DR.	WHITMORE LAKE	MI	48189	10/08/2013	01/01/2014		03/15/2016
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA: CVS/PHARMACY # 07137	5449 JACKSON RD.	ANN ARBOR	MI	48103	10/08/2013	01/01/2014		03/15/2016
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA: CVS/PHARMACY # 08023	1415 E. MICHIGAN AVE	YPSILANTI	MI	48198	10/08/2013	01/01/2014		03/15/2016
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA: CVS/PHARMACY # 08066	22421 PONTIAC TRAIL	SOUTH LYON	MI	48178	10/08/2013	01/01/2014		03/15/2016
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA: CVS/PHARMACY # 08085	1400 S SHELDON RD	PLYMOUTH	MI	48170-2140	10/08/2013	01/01/2014		03/15/2016
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA: CVS/PHARMACY # 08111	5757 WHITMORE LAKE RD. #100	BRIGHTON	MI	48116	10/08/2013	01/01/2014		03/15/2016
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA: CVS/PHARMACY # 08295	10073 E. HIGHLAND RD.,	HOWELL	MI	48843	10/08/2013	01/01/2014		03/15/2016
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA: CVS/PHARMACY # 08046	2235 EAST GRAND RIVER AVE.	HOWELL	MI	48843	01/16/2017	04/01/2017		01/16/2017
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	CVS PHARMACY # 16171	2000 WATERS RD	ANN ARBOR	MI	48103	01/16/2017	04/01/2017		01/16/2017
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA: CVS/PHARMACY # 08010	31411 CHERRY HILL	WESTLAND	MI	48186	01/04/2018	04/01/2018		01/04/2018
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA: CVS/PHARMACY # 08025	807 WEST CHICAGO BLVD.	TECUMSEH	MI	49286	01/04/2018	04/01/2018		01/04/2018
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA: CVS/PHARMACY # 08308	3960 E. HIGHLAND RD.	HOWELL	MI	48843	01/04/2018	04/01/2018	02/09/2023	07/19/2023
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	CVS PHARMACY # 16629	3749 CARPENTER RD	YPSILANTI	MI	48197	01/04/2018	04/01/2018		01/04/2018
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA: CVS/PHARMACY #103	44300 5 MILE RD	NORTHVILLE	MI	48168-9504	10/01/2019	01/01/2020		01/01/2020
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA: CVS/PHARMACY # 00927	37530 CHERRY HILL RD.	WESTLAND	MI	48185	10/01/2019	01/01/2020		01/01/2020
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA: CVS/PHARMACY # 01748	57090 TEN MILE ROAD	SOUTH LYON	MI	48178	10/01/2019	01/01/2020		01/01/2020
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA: CVS/PHARMACY # 08004	720 GENERAL MOTORS RD.	MILFORD	MI	48381	10/01/2019	01/01/2020		01/01/2020
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA: CVS/PHARMACY # 08008	7291 N MIDDLEBELT ROAD	WESTLAND	MI	48185	10/01/2019	01/01/2020		01/01/2020
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA: CVS/PHARMACY # 08009	133 EAST DUNLAP	NORTHVILLE	MI	48167	10/01/2019	01/01/2020		01/01/2020
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA: CVS/PHARMACY # 08013	1003 N. MAIN ST.	ADRIAN	MI	49221	10/01/2019	01/01/2020		01/01/2020
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA: CVS/PHARMACY # 08015	29500 FIVE MILE RD.	LIVONIA	MI	48154	10/01/2019	01/01/2020		01/01/2020
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA: CVS/PHARMACY # 08031	19120 MIDDLEBELT RD	LIVONIA	MI	48152	10/01/2019	01/01/2020		01/01/2020
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA: CVS/PHARMACY # 08041	414 S. MAIN ST.	BROOKLYN	MI	49230	10/01/2019	01/01/2020		01/01/2020
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA: CVS/PHARMACY # 08042	10915 BELLEVILLE RD	VAN BUREN TWP	MI	48111	10/01/2019	01/01/2020		01/01/2020
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA: CVS/PHARMACY # 08059	1750 S. WAYNE RD.	WESTLAND	MI	48186	10/01/2019	01/01/2020		01/01/2020
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA: CVS/PHARMACY # 08065	6501 N. WAYNE RD.	WESTLAND	MI	48185	10/01/2019	01/01/2020	01/24/2024	09/20/2024
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA: CVS/PHARMACY # 08075	27435 FORD RD.	GARDEN CITY	MI	48135	10/01/2019	01/01/2020		01/01/2020
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA: CVS/PHARMACY # 08077	40900 ANN ARBOR RD., EAST	PLYMOUTH	MI	48170	10/01/2019	01/01/2020		01/01/2020
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA: CVS/PHARMACY # 08121	37340 FIVE MILE RD.	LIVONIA	MI	48154	10/01/2019	01/01/2020		01/01/2020
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA: CVS/PHARMACY # 08138	2950 S NEWBURGH RD	WAYNE	MI	48184	10/01/2019	01/01/2020	11/21/2022	03/08/2024
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA: CVS/PHARMACY # 08140	22240 NOVI RD.	NOVI	MI	48375	10/01/2019	01/01/2020		01/01/2020
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA: CVS/PHARMACY # 08212	31501 JOY ROAD	WESTLAND	MI	48185	10/01/2019	01/01/2020		01/01/2020
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA: CVS/PHARMACY # 08225	1791 S HAGGERTY RD	CANTON	MI	48188	10/01/2019	01/01/2020		01/01/2020
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA: CVS/PHARMACY # 08262	39350 NINE MILE RD	NORTHVILLE	MI	48167	10/01/2019	01/01/2020		01/01/2020
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA: CVS/PHARMACY # 08268	605 NORTH WEST AVE.	JACKSON	MI	49202	10/01/2019	01/01/2020		01/01/2020
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA: CVS/PHARMACY # 08304	61019 SILVER LAKE RD.	SOUTH LYON	MI	48178	10/01/2019	01/01/2020		01/01/2020
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA CVS/PHARMACY #11243	444 MAIN ST	BELLEVILLE	MI	48111	10/01/2019	01/01/2020	04/03/2023	07/19/2023
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA CVS/PHARMACY #11251	42433 FORD RD.	CANTON	MI	48187	10/01/2019	01/01/2020	04/04/2024	09/20/2024
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	CVS PHARMACY # 16133	43670 FORD RD	CANTON	MI	48187	10/01/2019	01/01/2020		01/01/2020
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	CVS PHARMACY # 16309	20100 HAGGERTY RD	LIVONIA	MI	48152	10/01/2019	01/01/2020		01/01/2020
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	CVS PHARMACY # 16346	8043 CHALLIS RD	BRIGHTON	MI	48116	10/01/2019	01/01/2020		01/01/2020
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	CVS PHARMACY # 17191	3255 OWEN RD	FENTON	MI	48430	10/01/2019	01/01/2020		01/01/2020
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	CVS PHARMACY # 17474	47330 MICHIGAN AVE	CANTON	MI	48188	10/01/2019	01/01/2020		01/01/2020
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA: CVS/PHARMACY # 00211	18900 TELEGRAPH RD.	BROWNSTOWN	MI	48174	01/02/2020	04/01/2020		04/01/2020
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA: CVS/PHARMACY # 01150	30900 WOODWARD	ROYAL OAK	MI	48073	01/02/2020	04/01/2020		04/01/2020
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	CVS/PHARMACY #6804	2010 E APPLE AVE	MUSKEGON	MI	49442-4348	01/02/2020	04/01/2020		04/01/2020
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA: CVS/PHARMACY # 08001	15325 MICHIGAN AVE	DEARBORN	MI	48126	01/02/2020	04/01/2020		04/01/2020
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA: CVS/PHARMACY # 08002	100 W. WEST MAPLE RD.	WALLED LAKE	MI	48390-3402	01/02/2020	04/01/2020		04/01/2020
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA: CVS/PHARMACY # 08005	23115 MICHIGAN AVE	DEARBORN	MI	48124	01/02/2020	04/01/2020	05/23/2023	07/19/2023
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA: CVS/PHARMACY # 08007	27350 PLYMOUTH ROAD	REDFORD	MI	48239	01/02/2020	04/01/2020	10/16/2024	02/04/2025
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA: CVS/PHARMACY # 08016	40925 GARFIELD ROAD	CLINTON TWP	MI	48038	01/02/2020	04/01/2020		04/01/2020
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA: CVS/PHARMACY # 08017	27365 CHERRY HILL	INKSTER	MI	48141	01/02/2020	04/01/2020	07/28/2022	03/08/2024
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA: CVS/PHARMACY # 08020	4295 ORCHARD LAKE RD.	WEST BLOOMFIELD	MI	48323	01/02/2020	04/01/2020		04/01/2020
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA: CVS/PHARMACY # 08021	30920 SOUTHFIELD RD.	SOUTHFIELD	MI	48076	01/02/2020	04/01/2020		04/01/2020
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA: CVS/PHARMACY # 08026	125 EAST LONG LAKE RD.	TROY	MI	48085	01/02/2020	04/01/2020		04/01/2020
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA: CVS/PHARMACY # 08028	11125 ALLEN ROAD	SOUTHGATE	MI	48195	01/02/2020	04/01/2020		04/01/2020
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA: CVS/PHARMACY # 08029	2025 FORT STREET	WYANDOTTE	MI	48192	01/02/2020	04/01/2020		04/01/2020
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA: CVS/PHARMACY # 08030	1980 E. BIG BEAVER ROAD	TROY	MI	48083	01/02/2020	04/01/2020	04/15/2022	03/08/2024
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA: CVS/PHARMACY # 08033	27050 JOHN R RD.	MADISON HEIGHTS	MI	48071	01/02/2020	04/01/2020	04/15/2022	03/08/2024
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA: CVS/PHARMACY # 08034	21911 WEST ELEVEN MILE RD.	SOUTHFIELD	MI	48076	01/02/2020	04/01/2020		04/01/2020
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA: CVS/PHARMACY # 08038	7960 COOLEY LAKE RD.	WATERFORD	MI	48327	01/02/2020	04/01/2020		04/01/2020
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA: CVS/PHARMACY # 08044	29425 ORCHARD LAKE RD.	FARMINGTON HILLS	MI	48334	01/02/2020	04/01/2020		04/01/2020
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA: CVS/PHARMACY # 08045	25109 RYAN RD	WARREN	MI	48091	01/02/2020	04/01/2020		04/01/2020
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA: CVS/PHARMACY # 08048	23391 FARMINGTON RD.	FARMINGTON	MI	48336	01/02/2020	04/01/2020		04/01/2020
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA: CVS/PHARMACY # 08049	4995 HIGHLAND RD.	WATERFORD	MI	48328	01/02/2020	04/01/2020		04/01/2020
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA: CVS/PHARMACY # 08054	2240 CEDAR ST	HOLT	MI	48842	01/02/2020	04/01/2020		04/01/2020
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA: CVS/PHARMACY # 08056	8710 N. BEECH DALY	DEARBORN HEIGHTS	MI	48127	01/02/2020	04/01/2020		04/01/2020
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA: CVS/PHARMACY # 08058	18130 WEST 10 MILE RD.	SOUTHFIELD	MI	48075	01/02/2020	04/01/2020		04/01/2020
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA: CVS/PHARMACY # 08064	1625 KING RD.	TRENTON	MI	48183	01/02/2020	04/01/2020		04/01/2020
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA: CVS/PHARMACY # 08067	31250 BECK RD.	NOVI	MI	48377	01/02/2020	04/01/2020		04/01/2020
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA: CVS/PHARMACY # 08068	525 EAST 4TH STREET	ROYAL OAK	MI	48067	01/02/2020	04/01/2020		04/01/2020
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA: CVS/PHARMACY # 08072	27000 TELEGRAPH RD	FLAT ROCK	MI	48134-1657	01/02/2020	04/01/2020		04/01/2020
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA: CVS/PHARMACY # 08074	1715 COOLIDGE HWY.	BERKLEY	MI	48072	01/02/2020	04/01/2020		04/01/2020
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA: CVS/PHARMACY # 08076	3010 WALTON BLVD.	ROCHESTER HILLS	MI	48309	01/02/2020	04/01/2020		04/01/2020
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA: CVS/PHARMACY # 08081	17120 KERCHEVAL AVE	GROSSE POINTE	MI	48230	01/02/2020	04/01/2020		04/01/2020
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA: CVS/PHARMACY # 08084	7498 HAGGERTY ROAD	WEST BLOOMFIELD	MI	48322	01/02/2020	04/01/2020		04/01/2020
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA: CVS/PHARMACY # 08087	301 SOUTH COCHRAN AVE.	CHARLOTTE	MI	48813	01/02/2020	04/01/2020		04/01/2020
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA: CVS/PHARMACY # 08095	26220 CROCKER	HARRISON TWP	MI	48045	01/02/2020	04/01/2020		04/01/2020
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA: CVS/PHARMACY # 08105	37700 W. 12 MILE RD.	FARMINGTON HILLS	MI	48331	01/02/2020	04/01/2020		04/01/2020
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA: CVS/PHARMACY # 08108	33920 23 MILE RD	NEW BALTIMORE	MI	48047	01/02/2020	04/01/2020		04/01/2020
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA: CVS/PHARMACY # 08114	15300 EUREKA RD.	SOUTHGATE	MI	48195	01/02/2020	04/01/2020		04/01/2020
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA: CVS/PHARMACY # 08125	26101 EUREKA RD.	TAYLOR	MI	48180	01/02/2020	04/01/2020	04/18/2023	07/19/2023
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA: CVS/PHARMACY # 08126	61 W. PEARL ST.	COLDWATER	MI	49036	01/02/2020	04/01/2020		04/01/2020
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA: CVS/PHARMACY # 08128	2701 S TELEGRAPH RD	DEARBORN	MI	48124-3276	01/02/2020	04/01/2020		04/01/2020
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA: CVS/PHARMACY # 08129	295 S. BROADWAY	LAKE ORION	MI	48362	01/03/2020	04/01/2020		04/01/2020
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA: CVS/PHARMACY # 08131	2400 FORT ST.	LINCOLN PARK	MI	48146	01/03/2020	04/01/2020		04/01/2020
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA: CVS/PHARMACY # 08132	4101 TELEGRAPH RD.	BLOOMFIELD HILLS	MI	48302	01/03/2020	04/01/2020		04/01/2020
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA: CVS/PHARMACY # 08136	444 S. OLD WOODWARD ROAD	BIRMINGHAM	MI	48009	01/03/2020	04/01/2020		04/01/2020
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA: CVS/PHARMACY # 08139	27660 MIDDLEBELT RD.	FARMINGTON HILLS	MI	48334	01/03/2020	04/01/2020		04/01/2020
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA: CVS/PHARMACY # 08151	8900 TELEGRAPH ROAD	REDFORD TWP	MI	48239	01/03/2020	04/01/2020	04/01/2020	04/15/2020
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA: CVS/PHARMACY # 08155	5529 SASHABAW RD.	CLARKSTON	MI	48346	01/03/2020	04/01/2020		04/01/2020
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA: CVS/PHARMACY # 08232	3575 WEST ROAD	TRENTON	MI	48183	01/03/2020	04/01/2020	09/18/2023	09/20/2024
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA: CVS/PHARMACY # 08239	6070 W MAPLE RD	WEST BLOOMFIELD	MI	48322	01/03/2020	04/01/2020		04/01/2020
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA: CVS/PHARMACY # 08240	1325 E COMMERCE RD	COMMERCE TOWNSHIP	MI	48382	01/03/2020	04/01/2020		04/01/2020
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA: CVS/PHARMACY # 08244	42191 W 14 MILE RD	NOVI	MI	48377	01/03/2020	04/01/2020	03/28/2023	07/19/2023
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA: CVS/PHARMACY # 08246	1545 FRED MOORE HWY.	SAINT CLAIR	MI	48079	01/03/2020	04/01/2020		04/01/2020
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA: CVS/PHARMACY # 08278	5118 S. MLK JR BLVD.	LANSING	MI	48911	01/03/2020	04/01/2020	04/15/2022	03/08/2024
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA: CVS/PHARMACY # 08287	21777 21 MILE RD.	MACOMB	MI	48044	01/03/2020	04/01/2020		04/01/2020
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA: CVS/PHARMACY # 08292	1155 FULLER AVE NE	GRAND RAPIDS	MI	49503	01/03/2020	04/01/2020		04/01/2020
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA: CVS/PHARMACY # 08299	10501 HIGHLAND RD.	WHITE LAKE	MI	48386	01/03/2020	04/01/2020		04/01/2020
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA CVS/PHARMACY # 10442	1015 S. SAGINAW RD.	MIDLAND	MI	48640	01/03/2020	04/01/2020		04/01/2020
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA CVS/PHARMACY # 10592	2506 NILES AVENUE	SAINT JOSEPH	MI	49085	01/03/2020	04/01/2020		04/01/2020
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA CVS/PHARMACY #11249	36567 GODDARD RD	ROMULUS	MI	48174	01/03/2020	04/01/2020		04/01/2020
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA CVS/PHARMACY #11250	6510 TELEGRAPH RD	BLOOMFIELD HILLS	MI	48301	01/03/2020	04/01/2020		04/01/2020
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	CVS PHARMACY # 16157	30020 GRAND RIVER AVE	FARMINGTON HILLS	MI	48336	01/03/2020	04/01/2020		04/01/2020
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	CVS PHARMACY # 17307	29451 PLYMOUTH RD	LIVONIA	MI	48150	01/03/2020	04/01/2020		04/01/2020
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA CVS/PHARMACY # 6843	626 WEST FRONT ST.	TRAVERSE CITY	MI	49684	07/02/2020	10/01/2020		10/01/2020
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	CVS/PHARMACY #8011	16000 EAST TEN MILE RD	EASTPOINTE	MI	48021-1101	07/02/2020	10/01/2020		10/01/2020
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA: CVS/PHARMACY # 08019	31010 JOHN R RD.	MADISON HEIGHTS	MI	48071	07/02/2020	10/01/2020	06/20/2022	03/08/2024
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA: CVS/PHARMACY # 08080	13475 FIFTEEN MILE RD.	STERLING HEIGHTS	MI	48312	07/02/2020	10/01/2020		10/01/2020
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA: CVS/PHARMACY # 08101	900 W. NINE MILE RD.	FERNDALE	MI	48220	07/02/2020	10/01/2020		10/01/2020
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA: CVS/PHARMACY # 08103	33 WEST NINE MILE ROAD	HAZEL PARK	MI	48030	07/02/2020	10/01/2020		10/01/2020
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA: CVS/PHARMACY # 08106	23001 COOLIDGE HWY	OAK PARK	MI	48237	07/02/2020	10/01/2020		10/01/2020
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA: CVS/PHARMACY # 08127	209 E. 12 MILE RD.	ROYAL OAK	MI	48073	07/02/2020	10/01/2020		10/01/2020
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA: CVS/PHARMACY # 08141	6862 MICHIGAN AVE	DETROIT	MI	48210	07/02/2020	10/01/2020		10/01/2020
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA: CVS/PHARMACY # 08152	22060 OUTER DR	DEARBORN	MI	48124-3932	07/02/2020	10/01/2020		10/01/2020
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA: CVS/PHARMACY #8233	23881 GREENFIELD RD	SOUTHFIELD	MI	48075	07/02/2020	10/01/2020	04/15/2022	03/08/2024
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA CVS/PHARMACY # 10098	1306 S MISSION ST.	MOUNT PLEASANT	MI	48858	10/09/2020	01/01/2021		01/01/2021
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA CVS/PHARMACY #11247	225 E STATE ST PO BOX 96	MONTROSE	MI	48457	10/09/2020	01/01/2021		01/01/2021
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	CVS PHARMACY # 16139	500 E EDGEWOOD BLVD	LANSING	MI	48911	10/09/2020	01/01/2021		01/01/2021
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	CVS PHARMACY # 16143	4890 MARSH RD	OKEMOS	MI	48864	10/09/2020	01/01/2021		01/01/2021
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	CVS PHARMACY # 16162	5609 W SAGINAW HWY	LANSING	MI	48917	10/09/2020	01/01/2021		01/01/2021
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	CVS PHARMACY # 16086	15901 FORD RD	DEARBORN	MI	48126	01/15/2021	01/21/2021		01/21/2021
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA: CVS/PHARMACY # 08135	4239 E 12 MILE RD	WARREN	MI	48092	01/15/2021	01/21/2021	08/01/2024	02/04/2025
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA: CVS/PHARMACY # 08100	24001 HARPER	SAINT CLAIR SHORES	MI	48080	01/15/2021	01/21/2021	05/09/2024	09/20/2024
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA: CVS/PHARMACY # 08050	31111 SCHOENHERR RD	WARREN	MI	48088-7047	01/15/2021	01/21/2021		01/21/2021
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA: CVS/PHARMACY # 08104	19851 W. WARREN	DETROIT	MI	48228	04/01/2021	04/19/2021	12/07/2023	09/20/2024
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	DBA: CVS/PHARMACY # 08241	4031 GRANGE HALL ROAD	HOLLY	MI	48442	04/15/2022	07/01/2022		07/01/2022
Contract Detail	WOODWARD DETROIT CVS, L.L.C.	CVS/PHARMACY # 10547	10 EAST COLUMBIA AVE.	BATTLE CREEK	MI	49015	04/15/2022	07/01/2022		07/01/2022
Contract Detail	WOODWARD DETROIT CVS, LLC	DBA: CVS/PHARMACY # 08216	1700 SOUTH INDUSTRIAL HIGHWAY	ANN ARBOR	MI	48104	09/05/2012	09/05/2012		03/15/2016
Contract Detail	WOODWARD DETROIT CVS, LLC	DBA: CVS/PHARMACY # 08204	106 W. GRAND RIVER	BRIGHTON	MI	48116	10/08/2013	01/01/2014	09/24/2024	02/04/2025
Contract Detail	WOODWARD DETROIT CVS, LLC	DBA: CVS/PHARMACY # 08165	2151 WASHTENAW	YPSILANTI	MI	48197	01/16/2017	04/01/2017		01/16/2017
Contract Detail	WOODWARD DETROIT CVS, LLC	DBA: CVS/PHARMACY # 08161	47200 W 10 MILE RD.	NOVI	MI	48374	10/01/2019	01/01/2020		01/01/2020
Contract Detail	WOODWARD DETROIT CVS, LLC	DBA: CVS/PHARMACY # 08163	16855 HAGGERTY RD	NORTHVILLE	MI	48168	10/01/2019	01/01/2020		01/01/2020
Contract Detail	WOODWARD DETROIT CVS, LLC	DBA: CVS/PHARMACY # 08167	7269 N. CANTON CENTER RD	CANTON	MI	48187	10/01/2019	01/01/2020		01/01/2020
Contract Detail	WOODWARD DETROIT CVS, LLC	DBA: CVS/PHARMACY # 08176	8811 NEWBURGH	LIVONIA	MI	48150	10/01/2019	01/01/2020		01/01/2020
Contract Detail	WOODWARD DETROIT CVS, LLC	DBA: CVS/PHARMACY # 08190	45300 CHERRY HILL RD.	CANTON	MI	48187	10/01/2019	01/01/2020		01/01/2020
Contract Detail	WOODWARD DETROIT CVS, LLC	DBA: CVS/PHARMACY # 08208	49485 ANN ARBOR ROAD W	PLYMOUTH	MI	48170-3206	10/01/2019	01/01/2020		01/01/2020
Contract Detail	WOODWARD DETROIT CVS, LLC	DBA: CVS/PHARMACY # 08211	31450 VAN BORN	WAYNE	MI	48184	10/01/2019	01/01/2020		01/01/2020
Contract Detail	WOODWARD DETROIT CVS, LLC	DBA: CVS/PHARMACY # 08156	15121 24 MILE RD.	SHELBY TWP	MI	48315	01/03/2020	04/01/2020		04/01/2020
Contract Detail	WOODWARD DETROIT CVS, LLC	DBA: CVS/PHARMACY # 08157	25380 FIVE MILE RD	REDFORD	MI	48239	01/03/2020	04/01/2020		04/01/2020
Contract Detail	WOODWARD DETROIT CVS, LLC	DBA: CVS/PHARMACY # 08160	23800 WEST RD.	BROWNSTOWN TWP	MI	48183	01/03/2020	04/01/2020		04/01/2020
Contract Detail	WOODWARD DETROIT CVS, LLC	DBA: CVS/PHARMACY # 08164	7250 N VENOY RD	WESTLAND	MI	48185-6970	01/03/2020	04/01/2020	05/03/2022	03/08/2024
Contract Detail	WOODWARD DETROIT CVS, LLC	DBA: CVS/PHARMACY # 08174	1402 WEST 14 MILE ROAD	CLAWSON	MI	48017	01/03/2020	04/01/2020		04/01/2020
Contract Detail	WOODWARD DETROIT CVS, LLC	DBA: CVS/PHARMACY # 08178	22250 MIDDLEBELT	FARMINGTON HILLS	MI	48336	01/03/2020	04/01/2020		04/01/2020
Contract Detail	WOODWARD DETROIT CVS, LLC	DBA: CVS/PHARMACY # 08181	15240 SOUTHFIELD	ALLEN PARK	MI	48101	01/03/2020	04/01/2020		04/01/2020
Contract Detail	WOODWARD DETROIT CVS, LLC	DBA: CVS/PHARMACY # 08186	18500 GRAND RIVER	DETROIT	MI	48223	01/03/2020	04/01/2020		04/01/2020
Contract Detail	WOODWARD DETROIT CVS, LLC	DBA: CVS/PHARMACY # 08187	3053 UNION LAKE RD	COMMERCE TOWNSHIP	MI	48382	01/03/2020	04/01/2020	08/29/2024	02/04/2025
Contract Detail	WOODWARD DETROIT CVS, LLC	DBA: CVS/PHARMACY # 08213	13545 EUREKA ROAD	SOUTHGATE	MI	48195	01/03/2020	04/01/2020	07/25/2022	03/08/2024
Contract Detail	WOODWARD DETROIT CVS, LLC	DBA: CVS/PHARMACY # 08218	22300 GODDARD	TAYLOR	MI	48180	01/03/2020	04/01/2020	08/15/2022	03/08/2024
Contract Detail	WOODWARD DETROIT CVS, LLC	DBA: CVS/PHARMACY # 08221	25762 VAN BORN	DEARBORN HEIGHTS	MI	48125	01/03/2020	04/01/2020		04/01/2020
Contract Detail	WOODWARD DETROIT CVS, LLC	DBA: CVS/PHARMACY # 08227	2387 ORCHARD LAKE ROAD	SYLVAN LAKE	MI	48320	01/03/2020	04/01/2020		04/01/2020
Contract Detail	WOODWARD DETROIT CVS, LLC	DBA: CVS/PHARMACY # 08162	2045 SOUTH BLVD W	TROY	MI	48098-6540	07/02/2020	10/01/2020		10/01/2020
Contract Detail	WOODWARD DETROIT CVS, LLC	DBA: CVS/PHARMACY # 08170	18640 E. NINE MILE ROAD	EASTPOINTE	MI	48021	07/02/2020	10/01/2020	04/15/2022	03/08/2024
Contract Detail	WOODWARD DETROIT CVS, LLC	DBA: CVS/PHARMACY # 08180	539 E. 9 MILE RD.	FERNDALE	MI	48220	07/02/2020	10/01/2020		10/01/2020
Contract Detail	WOODWARD DETROIT CVS, LLC	DBA: CVS/PHARMACY # 08231	350 E WARREN AVE	DETROIT	MI	48201	07/02/2020	10/01/2020		10/01/2020
Contract Detail	WOODWARD DETROIT CVS, LLC	DBA: CVS/PHARMACY # 08194	12707 DEXTER	DETROIT	MI	48238	10/09/2020	01/01/2021	01/02/2021	03/31/2021
Contract Detail	WOODWARD DETROIT CVS, LLC	DBA: CVS/PHARMACY # 08191	4025 18 MILE RD.	STERLING HEIGHTS	MI	48314	01/15/2021	01/21/2021		01/21/2021

Parent/Child

340B ID	Hierarchy	Entity Type	Name	Sub Name	Address	City	State	340B Status
DSH230046AA	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	East Ann Arbor Ambulatory Surgery and Medical Procedures Center	4270 Plymouth Rd	Ann Arbor	MI	Active
DSH230046AB	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Livonia Center for Specialty Care	19900 Haggerty Rd	Livonia	MI	Terminated
DSH230046AC	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Livonia Specialty Care - Ambulatory Surgery Center	19900 Haggerty Rd	Livonia	MI	Terminated
DSH230046AD	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Livonia Specialty Care - Radiology & General Imaging	19900 Haggerty Rd	Livonia	MI	Active
DSH230046AF	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Livonia Specialty Care - Michigan Sinus Center	19900 Haggerty Rd	Livonia	MI	Active
DSH230046AG	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Livonia Specialty Care - Urology	19900 Haggerty Rd	Livonia	MI	Active
DSH230046AH	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Northville Health Center	39901 Traditions Dr	Northville	MI	Terminated
DSH230046AJ	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Ice Cube - MedSport	2121 Oak Valley Dr	Ann Arbor	MI	Active
DSH230046AK	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Reichert - Allergy, Asthma and Clinical Immunology	5333 McAuley Dr	Ypsilanti	MI	Terminated
DSH230046AL	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	West Ann Arbor Health Center (319007)	380 Parkland Plaza	Ann Arbor	MI	Active
DSH230046AM	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Ypsilanti Health Center	200 Arnet St	Ypsilanti	MI	Active
DSH230046AN	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Saline Health Center	700 Woodland Dr East	Saline	MI	Active
DSH230046AP	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Rachel Upjohn - Depression Center and Ambulatory Psychiatry	4250 Plymouth Rd	Ann Arbor	MI	Active
DSH230046AQ	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	KMS - Sleep Disorders Laboratory	700 KMS Place	Ann Arbor	MI	Active
DSH230046AR	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Kellogg Eye Center - Brighton	5728 Whitmore Lake Rd	Brighton	MI	Terminated
DSH230046AS	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Northville Health Center - Allergy	39901 Traditions Dr	Northville	MI	Active
DSH230046AT	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Livonia Specialty Care - Michigan Hearing	19900 Haggerty Rd	Livonia	MI	Terminated
DSH230046AU	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Northville Health Center - Gastroenterology	39901 Traditions Dr	Northville	MI	Active
DSH230046AV	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Kellogg Eye Center - Northville Health Center	39901 Traditions Dr	Northville	MI	Active
DSH230046AW	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Kellogg Eye Center - Milford	320 W. Commerce Road	Milford	MI	Terminated
DSH230046AX	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Dominos - Preoperative Clinic	24 Frank Lloyd Wright Dr	Ann Arbor	MI	Active
DSH230046AY	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Dominos - Plastic Surgery	24 Frank Lloyd Wright Dr	Ann Arbor	MI	Active
DSH230046AZ	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Dominos - Hand Therapy	24 Frank Lloyd Wright Dr	Ann Arbor	MI	Active
DSH230046BA	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Dominos - Ultrasound	24 Frank Lloyd Wright Dr	Ann Arbor	MI	Active
DSH230046BB	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Dominos - Sleep Clinic	24 Frank Lloyd Wright Dr	Ann Arbor	MI	Active
DSH230046BC	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Dominos - Podiatry	24 Frank Lloyd Wright Dr	Ann Arbor	MI	Active
DSH230046BD	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Dominos - Cancer Genetics	24 Frank Lloyd Wright Dr	Ann Arbor	MI	Active
DSH230046BE	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Eisenhower Corporate Park - Orthotics & Prosthetics	2850 South Industrial	Ann Arbor	MI	Active
DSH230046BF	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Eisenhower Corporate Park - Occup Therapy	2850 South Industrial	Ann Arbor	MI	Active
DSH230046BG	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Huron Valley - Radiology	2098 South Main Street	Ann Arbor	MI	Active
DSH230046BH	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Huron Valley - South Main Orthopaedics	2098 South Main Street	Ann Arbor	MI	Active
DSH230046BJ	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	East Ann Arbor - Nutrition Services	4260 Plymouth Rd	Ann Arbor	MI	Active
DSH230046BK	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	East Ann Arbor - Geriatrics	4260 Plymouth Rd	Ann Arbor	MI	Active
DSH230046BL	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	East Ann Arbor - Specialty	4260 Plymouth Rd	Ann Arbor	MI	Active
DSH230046BM	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	East Ann Arbor - Radiology	4260 Plymouth Rd	Ann Arbor	MI	Active
DSH230046BN	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	East Ann Arbor - PMR Therapy	4260 Plymouth Rd	Ann Arbor	MI	Active
DSH230046BP	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	East Ann Arbor - Breast Clinic	4260 Plymouth Rd	Ann Arbor	MI	Terminated
DSH230046BQ	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	East Ann Arbor - Primary Care	4260 Plymouth Rd	Ann Arbor	MI	Active
DSH230046BR	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Plymouth Park - Pediatric Rehab	2205 Commonwealth	Ann Arbor	MI	Active
DSH230046BS	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Plymouth Park - Neuropschology	2101 Commonwealth	Ann Arbor	MI	Active
DSH230046BT	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Burlington - Neurosurgery Clinic	325 E. Eisenhower Pkwy	Ann Arbor	MI	Active
DSH230046BU	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Burlington - Rehabilitation Psychology	325 E. Eisenhower Pkwy	Ann Arbor	MI	Active
DSH230046BV	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Burlington - Pediatric Neuromuscular	325 E. Eisenhower Pkwy	Ann Arbor	MI	Terminated
DSH230046BW	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Burlington - Collaborative Wheelchair	325 E. Eisenhower Pkwy	Ann Arbor	MI	Active
DSH230046BX	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Burlington - Spinal Cord Injury	325 E. Eisenhower Pkwy	Ann Arbor	MI	Active
DSH230046BY	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Kellogg Eye Center - Opthy Photo	1000 Wall Street	Ann Arbor	MI	Terminated
DSH230046BZ	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Kellogg Eye Center - Opthy Prosthetics	1000 Wall Street	Ann Arbor	MI	Active
DSH230046C	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Briarwood MedRehab Milestones	400 East Eisenhower Pkwy	Ann Arbor	MI	Active
DSH230046CA	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Kellogg Eye Center - Opthamology	1000 Wall Street	Ann Arbor	MI	Active
DSH230046CB	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Kellogg Eye Center - Surgery	1000 Wall Street	Ann Arbor	MI	Active
DSH230046CC	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Kellogg Eye Center - Ypsilanti	1974 North Huron River Drive	Ypsilanti	MI	Active
DSH230046CD	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Briarwood - Center for Reproductive Medicine	475 Market Place	ANN ARBOR	MI	Active
DSH230046CE	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	HOWELL PEDIATRICS AND TEEN CENTER	3399 East Grand River Ave.	HOWELL	MI	Active
DSH230046CF	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	DOMINO FARMS / Dominos - Wound	24 FRANK LLOYD WRIGHT DRIVE	ANN ARBOR	MI	Active
DSH230046CG	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	DOMINO FARMS / Dominos - Wound PT	24 FRANK LLOYD WRIGHT DRIVE	ANN ARBOR	MI	Active
DSH230046CH	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	BRIGHTON HEALTH CENTER / Radiology	8001 CHALLIS ROAD	BRIGHTON	MI	Terminated
DSH230046CJ	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	BRIGHTON HEALTH CENTER / MedSport (BCSC)	7500 CHALLIS ROAD	BRIGHTON	MI	Active
DSH230046CK	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	BRIGHTON HEALTH CENTER / Urology (BCSC)	7500 CHALLIS ROAD	BRIGHTON	MI	Active
DSH230046CL	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	BRIGHTON HEALTH CENTER / Rheumatology (BCSC)	7500 CHALLIS ROAD	BRIGHTON	MI	Active
DSH230046CM	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	BRIGHTON HEALTH CENTER / Pulmonary (BCSC)	7500 CHALLIS ROAD	BRIGHTON	MI	Active
DSH230046CN	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	BRIGHTON HEALTH CENTER / Pediatricians	8001 CHALLIS ROAD	BRIGHTON	MI	Active
DSH230046CP	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	BRIGHTON HEALTH CENTER / General Medicine	8001 CHALLIS ROAD	BRIGHTON	MI	Active
DSH230046CQ	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	BRIGHTON HEALTH CENTER / Cardiology (BCSC)	7500 CHALLIS ROAD	BRIGHTON	MI	Active
DSH230046CR	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	BRIGHTON HEALTH CENTER / Back and Pain (BCSC)	7500 CHALLIS ROAD	BRIGHTON	MI	Active
DSH230046CS	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	BRIGHTON HEALTH CENTER / Endocrinology (BCSC)	7500 CHALLIS ROAD	BRIGHTON	MI	Active
DSH230046CT	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	BRIGHTON HEALTH CENTER / Hepatology (BCSC)	7500 CHALLIS ROAD	BRIGHTON	MI	Active
DSH230046CU	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	BRIGHTON HEALTH CENTER / OB/GYN	8001 CHALLIS ROAD	BRIGHTON	MI	Active
DSH230046CV	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Kellogg Eye Center - Canton	1051 Canton Center Rd	Canton	MI	Active
DSH230046CW	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	CANTON HEALTH C ENTER / Physical Med Rehab	1051 CANTON CENTER ROAD	CANTON	MI	Active
DSH230046CX	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	CANTON HEALTH C ENTER / Radiology	1051 CANTON CENTER ROAD	CANTON	MI	Active
DSH230046CY	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	CANTON HEALTH C ENTER / Spine Clinic	1051 CANTON CENTER ROAD	CANTON	MI	Active
DSH230046CZ	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	CANTON HEALTH C ENTER / Pediatricians	1051 CANTON CENTER ROAD	CANTON	MI	Active
DSH230046D	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Briarwood Center for Women, Children and Young Adults	400 East Eisenhower Pkwy	Ann Arbor	MI	Active
DSH230046DA	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	CANTON HEALTH C ENTER / Ped Epilepsy	1051 CANTON CENTER ROAD	CANTON	MI	Terminated
DSH230046DB	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	CANTON HEALTH C ENTER / Ped Endocrinology	1051 CANTON CENTER ROAD	CANTON	MI	Active
DSH230046DC	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	CANTON HEALTH C ENTER / Oncology	1051 CANTON CENTER ROAD	CANTON	MI	Terminated
DSH230046DD	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	CANTON HEALTH C ENTER / Ob/Gyn	1051 CANTON CENTER ROAD	CANTON	MI	Active
DSH230046DE	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	CANTON HEALTH C ENTER / Infectious Disease	1051 CANTON CENTER ROAD	CANTON	MI	Active
DSH230046DF	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	CANTON HEALTH C ENTER / Hepatology	1051 CANTON CENTER ROAD	CANTON	MI	Active
DSH230046DG	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	CANTON HEALTH C ENTER / Hematology	1051 CANTON CENTER ROAD	CANTON	MI	Active
DSH230046DH	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	CANTON HEALTH C ENTER / General Medicine	1051 CANTON CENTER ROAD	CANTON	MI	Active
DSH230046DJ	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	CANTON HEALTH C ENTER / Gastroenterology	1051 CANTON CENTER ROAD	CANTON	MI	Active
DSH230046DK	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	CANTON HEALTH C ENTER / Cardiology	1051 CANTON CENTER ROAD	CANTON	MI	Terminated
DSH230046DL	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	CANTON HEALTH C ENTER / Canton - Back & Pain	1051 CANTON CENTER ROAD	CANTON	MI	Active
DSH230046DM	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	CHELSEA HEALTH CENTER / Behavioral	14700 EAST OLD US 12	CHELSEA	MI	Active
DSH230046DN	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	CHELSEA HEALTH CENTER / Cardiology	14700 EAST OLD US 12	CHELSEA	MI	Active
DSH230046DP	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	CHELSEA HEALTH CENTER / Family Medicine	14700 EAST OLD US 12	CHELSEA	MI	Active
DSH230046DQ	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	CHELSEA HEALTH CENTER / Gynecology	14700 EAST OLD US 12	CHELSEA	MI	Active
DSH230046DR	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	CHELSEA HEALTH CENTER / Metabolism, Endocrinology, Diabetes	14700 EAST OLD US 12	CHELSEA	MI	Active
DSH230046DS	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	CHELSEA HEALTH CENTER / Spine Clinic	14700 EAST OLD US 12	CHELSEA	MI	Active
DSH230046DT	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	CHELSEA HEALTH CENTER / Urology	14700 EAST OLD US 12	CHELSEA	MI	Terminated
DSH230046DU	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Kellogg Eye Center - Chelsea	14700 E Old US 12	Chelsea	MI	Active
DSH230046DV	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Northville Health Center / Adult General	39901 Traditions Dr	Northville	MI	Active
DSH230046DW	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Livonia Health Center / Pediatric Gastroenterology	20321 Farmington Rd	Livonia	MI	Active
DSH230046DX	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Livonia Health Center / Internal Medicine	20321 Farmington Rd	Livonia	MI	Terminated
DSH230046DY	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Livonia Health Center / Family Medicine	20321 Farmington Rd	Livonia	MI	Active
DSH230046DZ	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Northville Health Center / Radiology	39901 Traditions Dr	Northville	MI	Active
DSH230046E	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Briarwood Family Medicine	1801 Briarwood Circle	Ann Arbor	MI	Active
DSH230046EA	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Northville Health Center / OB/GYN	39901 Traditions Dr	Northville	MI	Active
DSH230046EB	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Northville Health Center / Hem/Onc	39901 Traditions Dr	Northville	MI	Active
DSH230046EC	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Northville Health Center / Pediatrics	39901 Traditions Dr	Northville	MI	Active
DSH230046ED	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Northville Health Center / Medical Procedures Unit	39901 Traditions Dr	Northville	MI	Active
DSH230046EE	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Northville Health Center / Adult Specialty	39901 Traditions Dr	Northville	MI	Active
DSH230046EF	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Northville Health Center / Musculoskeletal	39901 Traditions Dr	Northville	MI	Active
DSH230046EG	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	CHELSEA HEALTH CENTER / GENERAL SURGERY - GENERAL SURGERY	14700 E Old US Highway 12	Chelsea	MI	Terminated
DSH230046EH	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	CLARK ROAD RHEUMATOLOGY - RHEUMATOLOGY	3145 W Clark Rd Ste 202	Ypsilanti	MI	Terminated
DSH230046EJ	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	NORTHVILLE HEALTH CENTER / AMBULATORY DIAGNOSTIC AND TREATMENT UNIT - AMBULATORY DIAGNOSTIC AND TREATMENT UNIT	39901 Traditions Drive	Northville	MI	Terminated
DSH230046EK	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	LIVONIA SPECIALTY CARE - COSMETIC SURGERY - COSMETIC SURGERY	19900 Haggerty Rd Ste 103	Livonia	MI	Active
DSH230046EL	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Clark Road Infusion - Infusion	3145 W Clark Rd Ste 303	Ypsilanti	MI	Terminated
DSH230046EM	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	BRIGHTON HEALTH CENTER - BCSC Infusion	7500 CHALLIS RD	BRIGHTON	MI	Active
DSH230046EN	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	YPSILANTI HEALTH CENTER - PEDIATRICS	200 ARNET ST	YPSILANTI	MI	Terminated
DSH230046EP	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	YPSILANTI HEALTH CENTER - PSYCHOLOGY	200 ARNET ST	YPSILANTI	MI	Active
DSH230046EQ	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	WEST ANN ARBOR HEALTH CENTER - Thoracic Surgery	380 PARKLAND PLZ	ANN ARBOR	MI	Terminated
DSH230046ER	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	WEST ANN ARBOR HEALTH CENTER - Opthalmology	380 PARKLAND PLZ	ANN ARBOR	MI	Active
DSH230046ES	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	WEST ANN ARBOR HEALTH CENTER - Infusion	380 PARKLAND PLZ	ANN ARBOR	MI	Active
DSH230046ET	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	WEST ANN ARBOR HEALTH CENTER - Gastroenterology	380 PARKLAND PLZ	ANN ARBOR	MI	Active
DSH230046EU	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	CANTON HEALTH CENTER - Infusion	1051 N CANTON CENTER RD	CANTON	MI	Terminated
DSH230046EV	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	West Ann Arbor Health Center- Pulmonary (319014)	380 PARKLAND PLZ	ANN ARBOR	MI	Active
DSH230046EW	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	EAST ANN ARBOR AMBULATORY SURGERY/ - Infusion	4260 PLYMOUTH RD	ANN ARBOR	MI	Active
DSH230046EX	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	WEST ANN ARBOR HEALTH CENTER - Pediatric Sports Medicine	380 PARKLAND PLZ	ANN ARBOR	MI	Terminated
DSH230046EY	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	West Ann Arbor Health Center- Allergy (319004)	380 PARKLAND PLZ	ANN ARBOR	MI	Active
DSH230046EZ	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	BURLINGTON BUILDING - Vestibular Pediatric Program	325 E EISENHOWER PARKWAY SUITE 202	ANN ARBOR	MI	Terminated
DSH230046F	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Briarwood Health Associates	325 Briarwood Circle	Ann Arbor	MI	Active
DSH230046FA	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	BURLINGTON BUILDING - Physical Therapy	325 E EISENHOWER PARKWAY SUITE 202	ANN ARBOR	MI	Active
DSH230046FB	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	NORTHVILLE HEALTH CENTER - Infusion	39901 TRADITIONS DR	NORTHVILLE	MI	Active
DSH230046FC	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	WEST ANN ARBOR HEALTH CENTER - Ambulatory Urgent Care	380 PARKLAND PLZ	ANN ARBOR	MI	Terminated
DSH230046FD	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	West Ann Arbor Health Center- Otolaryngology (319006)	380 PARKLAND PLZ	ANN ARBOR	MI	Active
DSH230046FE	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	West Ann Arbor Health Center- Audiology (319018)	380 PARKLAND PLZ	ANN ARBOR	MI	Active
DSH230046FF	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	WEST ANN ARBOR HEALTH CENTER - Ortho Surgery	380 PARKLAND PLZ	ANN ARBOR	MI	Terminated
DSH230046FG	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	West Ann Arbor- Radiology (315988)	380 Parkland Plaza	Ann Arbor	MI	Active
DSH230046FH	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Chelsea- Surgical Services - Surgical Services	14650 E Old US Highway 12	Chelsea	MI	Active
DSH230046FJ	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Brighton Center for Specialty Care- RadOnc - Radiation Oncology	7500 Challis Rd	Brighton	MI	Active
DSH230046FK	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Brighton Center for Specialty Care- Preop/OR/PACU - Preop/OR/PACU	7500 Challis Rd	Brighton	MI	Active
DSH230046FL	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Brighton Center for Specialty Care- OPHTH - Ophthalmology	7500 Challis Rd	Brighton	MI	Active
DSH230046FM	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	West Ann Arbor-PP Echocardio- (319016)	380 Parkland Plaza	Ann Arbor	MI	Terminated
DSH230046FN	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Brighton Center for Specialty Care- OTO - Otolaryngology	7500 Challis Rd	Brighton	MI	Active
DSH230046FP	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Brighton Center for Specialty Care- Comprehensive Cancer Center - Oncology	7500 Challis Rd	Brighton	MI	Active
DSH230046FQ	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Dexter Health Clinic (315024) - DHC Session space	7300 Dexter Ann Arbor Rd Ste 100	Dexter	MI	Active
DSH230046FR	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Livonia Health Center (315246) - LHC session space	20321 Farmington Rd	Livonia	MI	Terminated
DSH230046FS	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	MICH HOUSE CALLS (316323) - House Calls	2850 S Industrial Hwy	Ann Arbor	MI	Terminated
DSH230046FT	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	BCSC AMBULATRY DIAG TX (319224) - Ambulatory clinic for service	7500 Challis Rd	Brighton	MI	Terminated
DSH230046FU	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Livonia Health Center Endo/Diab (315343) - Endocrinology and diabetes	20321 Farmington Rd	Livonia	MI	Active
DSH230046FV	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	MICH VISIT NURSES (316322) - Visiting Nurses	2850 S Industrial Hwy	Ann Arbor	MI	Active
DSH230046FW	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Grand Rapids Endocrinology (315700) - Endo	1310 East Beltline	SE Grand Rapids	MI	Active
DSH230046FX	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Domino Farms Cardiac (311757) - Cardiac	24 Frank Lloyd Wright Dr	Ann Arbor	MI	Active
DSH230046FY	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	BCSC Cardiac (319225) - Cardiac	7500 Challis Rd	Brighton	MI	Active
DSH230046FZ	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	BCSC Sleep (319209) - Sleep	7500 Challis Rd	Brighton	MI	Active
DSH230046G	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Briarwood Hearing Rehabilitation	475 Market Place	Ann Arbor	MI	Active
DSH230046GA	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	BCSC Adult Comprehensive Care (319211) - Comprehensive care	7500 Challis Rd	Brighton	MI	Active
DSH230046GB	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Hospital Care at Home (316329) - General Medicine	2850 S Industrial Hwy	Ann Arbor	MI	Active
DSH230046GC	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Domino Farms Anticoag (315384) - Anticoag	24 Frank Lloyd Wright Dr Ste 32315 S	Ann Arbor	MI	Terminated
DSH230046GD	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	ECPH Patient Monitoring (319312) - General Medicine	2850 S Industrial Hwy Ste 75	Ann Arbor	MI	Active
DSH230046GE	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	WAA OB/GYN (319003) - ob/gyn	380 Parkland Plaza	Ann Arbor	MI	Active
DSH230046GF	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	WAA Internal Medicine (319001) - Internal Med	380 Parkland Plaza	Ann Arbor	MI	Active
DSH230046GG	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	West Ann Arbor- Geriatrics (319013) - Geriatrics	380 Parkland Plaza	Ann Arbor	MI	Active
DSH230046GH	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	WAA Pediatrics (319002) - peds	380 Parkland Plaza	Ann Arbor	MI	Active
DSH230046GJ	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	West Ann Arbor Health Center- Saturday Clinic (319021) - Clinic	380 Parkland Plaza	Ann Arbor	MI	Active
DSH230046GK	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	West Shore Urology (310107) - Urology	1301 Mercy Dr	Muskegon	MI	Active
DSH230046GL	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	West Ann Arbor- Ortho (319020) - Ortho	380 Parkland Plaza	Ann Arbor	MI	Active
DSH230046GM	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Kellogg Ophthalmology (315804) - Ophthalmology	3181 E Grand Blanc Rd	Grand Blanc	MI	Active
DSH230046GN	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Chelsea Health Center- Senior (315050) - Geriatrics	805 W Middle St	Chelsea	MI	Active
DSH230046GP	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	ECPH Homemed (318401) - Homemed	2850 S Industrial Hwy Ste 50	Ann Arbor	MI	Active
DSH230046GQ	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	EAA PACU (319348) - PACU	4260 Plymouth Rd	Ann Arbor	MI	Active
DSH230046GR	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	KEC ANESTHESIA (315130) - Anesthesia	1000 Wall St	Ann Arbor	MI	Active
DSH230046GS	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	BHC Nutrition Services (315240) - Nutrition	8001 Challis Rd	Brighton	MI	Active
DSH230046GT	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	BCSC- Procedure area (319202) - Procedure area	7500 Challis Rd	Brighton	MI	Active
DSH230046GU	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Canton Health Center Metab, Endo, & Diab (315318) - Metab, Endo, & Diab	1051 N Canton Center Rd	Canton	MI	Active
DSH230046GV	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Domino Farms Sleep Lab (315418) - Sleep	24 Frank Lloyd Wright Dr	Ann Arbor	MI	Active
DSH230046GW	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Domino Farms Neuro Sport (315441) - Neuro Sport	24 Frank Llyod Wright Dr	Ann Arbor	MI	Active
DSH230046GX	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Northville Multi Specialty Procedure Center (311826) - Adult Specialty procedure clinics	39901 Traditions Dr	Northville	MI	Active
DSH230046GY	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Chelsea- OB GYN (310009) - OB GYN	14650 East Old US Highway 12	Chelsea	MI	Active
DSH230046GZ	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	BCSC- Neuro/Ortho Surg (319203) - Neuro/Ortho Surgery	7500 Challis Rd	Brighton	MI	Active
DSH230046H	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Briarwood Medical Group	375 Briarwood Circle	Ann Arbor	MI	Active
DSH230046HA	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Northville OB GYN Spec. (311832) - OB GYN	39901 Traditions Dr	Northville	MI	Active
DSH230046HB	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Domino Farms Med and Ortho Sport (315399) - Med and Ortho Sport	24 Frank Lloyd Wright Dr	Ann Arbor	MI	Active
DSH230046HC	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Domino Farms Wound OT (311813) - Wound OT	24 Frank Lloyd Wright Dr	Ann Arbor	MI	Active
DSH230046HD	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	BCSC- Pediatric Spec. (319210) - Pediatric Specialty clinics	7500 Challis Rd	Brighton	MI	Active
DSH230046HE	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Chelsea Adult Multi Specialty Center (315050) - Adult Specialty clinics	14700 E Old US Highway 12	Chelsea	MI	Active
DSH230046HF	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Northville- PT and Occupational Therapy (315745) - PT and Occupational Therapy	39901 Traditions Dr	Northville	MI	Active
DSH230046HG	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	EMPC MPU and Venous management (317937) - MPU and venous	4270 Plymouth Rd	Ann Arbor	MI	Active
DSH230046HH	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Eisenhower Corporate Park - Physical Medicine Rehab (315575) - Physical Medicine Rehab	2850 S Industrial Hwy	Ann Arbor	MI	Active
DSH230046HJ	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	WHC General Med (315258) - General Medicine	4900 Jackson Rd	Ann Arbor	MI	Active
DSH230046HK	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	BW04 Pain Managment Rehab (315746) - Pain Management	325 E Eisenhower Pkwy Ste 100	Ann Arbor	MI	Active
DSH230046HL	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	YHC Dermatology (311800) - Dermatology	200 Arnet St	Ypsilanti	MI	Active
DSH230046HM	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	DF Dermatology TX (315640) - Dermatology	24 Frank Lloyd Wright Dr	Ann Arbor	MI	Active
DSH230046HN	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	BCSC Radiation (319222) - Radiation	7500 Challis Rd	Brighton	MI	Active
DSH230046HP	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	DRBM Kidney Pancreas (317166) - Kidney and Pancreas	7633 E Jefferson Ave	Detroit	MI	Active
DSH230046HQ	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	RUB Comp Gender SVC (315156 - Gender Services	4250 Plymouth Rd	Ann Arbor	MI	Active
DSH230046HR	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	DF Diabetes Edu (315318) - Diabetes Education	24 Frank Lloyd Wright Dr	Ann Arbor	MI	Active
DSH230046HS	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	PRC PMR PED (315739) - PMR peds	2205 Commonwealth Blvd	Ann Arbor	MI	Active
DSH230046HT	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	KEC Vision Care (315284) - Vision	1000 Wall St	Ann Arbor	MI	Active
DSH230046HU	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	PRC PED Psyc (315743) - Ped Psyc	2205 Commonwealth Blvd	Ann Arbor	MI	Active
DSH230046HV	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	CRC Senior Living (315050) - Senior living	805 W Middle St	Chelsea	MI	Active
DSH230046HW	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	ZTC Ped Rheumatology (315884) - Peds Rheumatology	106 S Madison St	Traverse City	MI	Active
DSH230046HX	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	ZMQ Ped Genetics (315706) - Genetics	850 W Baraga Ave	Marquette	MI	Active
DSH230046HY	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	KEC Ophthy Plastics (315754 - Eye surgery	1000 Wall St	Ann Arbor	MI	Active
DSH230046J	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Briarwood MedRehab	355 Briarwood Circle	Ann Arbor	MI	Active
DSH230046K	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Briarwood Radiology	1901 Briarwood Circle	Ann Arbor	MI	Active
DSH230046L	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Brighton Health Center	8001 Challis Rd	Brighton	MI	Terminated
DSH230046M	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Burlington - Pulmonary Rehab	325 E Eisenhower Pkwy	Ann Arbor	MI	Active
DSH230046N	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Burlington - Back & Pain Center / Spine Program	325 E Eisenhower Pkwy	Ann Arbor	MI	Active
DSH230046P	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Burlington - Physical Medicine & Rehab	325 E Eisenhower Pkwy	Ann Arbor	MI	Active
DSH230046Q	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Canton Health Center	1051 Canton Center Rd	Canton	MI	Terminated
DSH230046R	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Chelsea Health Center	14700 E Old US 12	Chelsea	MI	Terminated
DSH230046S	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Dexter Family Medicine	7300 Dexter-Ann Arbor Rd	Dexter	MI	Active
DSH230046T	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Dominos - MedSport	24 Frank Lloyd Wright Dr	Ann Arbor	MI	Active
DSH230046U	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Dominos - Vascular Lab	24 Frank Lloyd Wright Dr	Ann Arbor	MI	Active
DSH230046V	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Dominos - Family Medicine	24 Frank Lloyd Wright Dr	Ann Arbor	MI	Active
DSH230046W	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	DOMINO FARMS / Dominos - Allergy	24 FRANK LLOYD WRIGHT DRIVE	Ann Arbor	MI	Active
DSH230046X	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Dominos - Dermatology	24 Frank Lloyd Wright Dr	Ann Arbor	MI	Active
DSH230046Y	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Dominos - Cardiovascular Medicine	24 Frank Lloyd Wright Dr.	Ann Arbor	MI	Active
DSH230046Z	Child	DSH	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	Dominos - Metabolism, Endocrinology and Diabetes	24 Frank Lloyd Wright Dr.	Ann Arbor	MI	Active

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Contacts	Authorizing Official	Update	Profile Change Request	Habers, Dana Chief Operating Officer, Pharmacy University of Michigan 7349364338	Habers, Dana Chief Operating Officer, Pharmacy University of Michigan 3232403032	5/12/2025 10:14 AM
Addresses	Billing Address	Update	Change Request	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS 1500 EAST MEDICAL CENTER DRIVE UH B2 D301 SPC 5008 Ann Arbor, MI 48109	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS 3003 South State Street Ann Arbor, MI 48109	2/18/2025 10:04 AM
Contacts	Primary Contact	Update	Group Change Request	Lee, Janine M Clinical Pharmacist, 340B Program University of Michigan 7349368210	Gillespie, Cindy Assistant Director, Pharmacy 340B Program University of Michigan 7346155867	2/12/2025 11:29 AM
Contacts	Authorizing Official	Update	Change Request	Miller, David President University of Michigan Health Systems University of Michigan Hospitals and Health Centers 7346476313	Habers, Dana Chief Operating Officer, Pharmacy University of Michigan 7349364338	12/17/2024 7:57 AM
Medicaid Billing	NPI: Number	Insert	Change Request		1326096629	9/13/2024 2:12 PM
Medicaid Billing	NPI: State	Insert	Change Request		MI	9/13/2024 2:12 PM
Medicaid Billing	NPI: Number	Insert	Change Request		1588047054	9/13/2024 8:11 AM
Medicaid Billing	NPI: State	Insert	Change Request		MI	9/13/2024 8:11 AM
Medicaid Billing	NPI: Number	Insert	Change Request		1396128864	9/13/2024 8:11 AM
Medicaid Billing	NPI: State	Insert	Change Request		MI	9/13/2024 8:11 AM
Medicaid Billing	NPI: Number	Insert	Change Request		1952181919	9/13/2024 8:11 AM
Medicaid Billing	NPI: State	Insert	Change Request		MI	9/13/2024 8:11 AM
Medicaid Billing	NPI: Number	Insert	Change Request		1124506712	9/13/2024 8:11 AM
Medicaid Billing	NPI: State	Insert	Change Request		MI	9/13/2024 8:11 AM
Contacts	Primary Contact	Update	Profile Change Request	Lee, Janine M Assistant Direct 340B Program University of Michigan 7349368210	Lee, Janine M Clinical Pharmacist, 340B Program University of Michigan 7349368210	8/22/2024 9:55 AM
Details	Last Recertification Date	Update	Recertification	9/5/2023 10:49:28 PM	8/20/2024 12:20:34 PM	8/20/2024 12:20 PM
Contacts	Primary Contact	Update	Change Request	Cortis, Rachel G Associate Chief Operating Officer UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTER 7342321590	Lee, Janine M Assistant Direct 340B Program University of Michigan 7349368210	7/23/2024 3:48 PM
Addresses	Shipping Address	Update	Change Request	East Ann Arbor Infusion Pharmacy 4260 Plymouth Rd Lower Level, B1 Ann Arbor, MI 48109	East Ann Arbor Infusion Pharmacy 4260 Plymouth Rd B1201 Ann Arbor, MI 48109	4/17/2024 7:03 AM
Addresses	Shipping Address	Insert	Change Request		The Regents of the University of Michigan - Joy Rd Pharmacy 7300 W Joy Road Dexter, MI 48130	12/12/2023 3:50 PM
Contacts	Primary Contact	Update	Profile Change Request	Cortis, Rachel G Assistant Director of Pharmacy for Business Operations UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTER 7342321590	Cortis, Rachel G Associate Chief Operating Officer UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTER 7342321590	12/11/2023 2:19 PM
Addresses	Shipping Address	Insert	Recertification		Joy Road Specialty Pharmacy 7300 W. Joy Rd Dexter, MI 48130	9/5/2023 10:49 PM
Details	Last Recertification Date	Update	Recertification	8/24/2022 1:08:47 PM	9/5/2023 10:49:28 PM	9/5/2023 10:49 PM
Addresses	Shipping Address	Insert	Change Request		Safecor Health LLC. 4060 Business Park Drive Columbus, OH 43204	4/25/2023 6:44 AM
Addresses	Shipping Address	Insert	Change Request		Rachel Upjohn Building 4250 Plymouth Road Ann Arbor, MI 48109	1/26/2023 4:13 PM
Addresses	Shipping Address	Insert	Change Request		KEC Grand Blanc 3181 E Grand Blanc Rd Grand Blanc, MI 48439	12/13/2022 9:25 AM
Addresses	Shipping Address	Insert	Change Request		West Shore Urology 1301 Mercy Dr Muskegon, MI 49444	12/13/2022 9:25 AM
Details	Last Recertification Date	Update	Recertification	8/19/2021 8:10:34 AM	8/24/2022 1:08:47 PM	8/24/2022 1:08 PM
Contacts	Primary Contact	Update	Change Request	Thorn, Mark Jeffrey 340b Manager University Of Michigan Hospitals and Health Centers 7342321562	Cortis, Rachel G Assistant Director of Pharmacy for Business Operations UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTER 7342321590	2/7/2022 10:21 AM
Contacts	Authorizing Official	Update	Change Request	Desmond, Jeffrey S. Chief Medical Officer University Of Michigan Hospitals and Health Centers 7349365814	Miller, David President University of Michigan Health Systems University of Michigan Hospitals and Health Centers 7346476313	1/27/2022 11:50 AM
Details	Last Recertification Date	Update	Recertification	9/2/2020 8:10:14 AM	8/19/2021 8:10:34 AM	8/19/2021 8:10 AM
Contacts	Primary Contact	Update	Change Request	Cortis, Rachel G Assistant Director of Pharmacy for Business Operations UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTER 7342321590	Thorn, Mark Jeffrey 340b Manager University Of Michigan Hospitals and Health Centers 7342321562	2/19/2021 12:27 PM
Medicaid Billing	NPI: Number	Insert	Recertification		1003878539	9/2/2020 8:10 AM
Medicaid Billing	NPI: State	Insert	Recertification		MI	9/2/2020 8:10 AM
Medicaid Billing	NPI: Number	Delete	Recertification	1003878539 ( )		9/2/2020 8:10 AM
Details	Last Recertification Date	Update	Recertification	9/12/2019 12:40:15 PM	9/2/2020 8:10:14 AM	9/2/2020 8:10 AM
Addresses	Shipping Address	Delete	Recertification	Canton Infusion Pharmacy 1051 N. Canton Center Rd Canton, MI 48187-5097		9/12/2019 12:40 PM
Addresses	Shipping Address	Insert	Recertification		West Ann Arbor Health Center 380 Parkland Plaza Suite 110 Ann Arbor, MI 48103	9/12/2019 12:40 PM
Details	Last Recertification Date	Update	Recertification	8/16/2018 1:32:58 PM	9/12/2019 12:40:15 PM	9/12/2019 12:40 PM
Contacts	Primary Contact	Update	Change Request	Valentine, David Paul Manager University of Michigan Hospitals and Health Centers 7349368210	Cortis, Rachel G Assistant Director of Pharmacy for Business Operations UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTER 7342321590	7/8/2019 10:20 AM
Addresses	Shipping Address	Insert	Change Request		UMHS Brighton Center For Specialty Care Pharmacy 7500 Challis Rd Brighton, MI 48116	8/31/2018 7:50 AM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	8/16/2018 1:32 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		1556483	8/16/2018 1:32 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		MI	8/16/2018 1:32 PM
Details	Last Recertification Date	Update	Recertification	11/29/2017 3:58:34 PM	8/16/2018 1:32:58 PM	8/16/2018 1:32 PM
Addresses	Shipping Address	Insert	Recertification		UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS 1500 East Medical Center Dr. UH-B2D301/0008 Ann Arbor, MI 48109	11/29/2017 3:58 PM
Details	Last Recertification Date	Update	Recertification	8/23/2016 12:00:00 AM	11/29/2017 3:58:34 PM	11/29/2017 3:58 PM
Contacts	Primary Contact	Update	Change Request	Schuman, Alice Asst.Director For Business Operations, UMH Pharmacy Administration 7349368210	Valentine, David Paul Manager University of Michigan Hospitals and Health Centers 7349368210	9/28/2017 10:37 AM
Contacts	Authorizing Official	Update		Desmond, Jeffrey S. Chief Medical Officer 7349365814	Desmond, Jeffrey S. Chief Medical Officer University Of Michigan Hospitals and Health Centers 7349365814	9/20/2017 12:44 PM
Contacts	Authorizing Official	Insert			Desmond, Jeffrey S. Chief Medical Officer 7349365814	8/9/2017 3:14 PM
Addresses	Main Address	Insert			1500 EAST MEDICAL CENTER DRIVE ANN ARBOR, MI 48109	4/3/2017 2:22 PM
Addresses	Billing Address	Insert			UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS 1500 EAST MEDICAL CENTER DRIVE UH B2 D301 SPC 5008 Ann Arbor, MI 48109	4/3/2017 2:22 PM
Addresses	Shipping Address	Insert			UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS 1500 EAST MEDICAL CENTER DRIVE ANN ARBOR, MI 48109	4/3/2017 2:22 PM
Addresses	Shipping Address	Insert			HOMEMED 2850 S INDUSTRIAL HWY SUITE 50 ANN ARBOR, MI 48104	4/3/2017 2:22 PM
Addresses	Shipping Address	Insert			East Ann Arbor Pharmacy 4260 Plymouth Rd Room 1002 Ann Arbor, MI 48109	4/3/2017 2:22 PM
Addresses	Shipping Address	Insert			East Ann Arbor Infusion Pharmacy 4260 Plymouth Rd Lower Level, B1 Ann Arbor, MI 48109	4/3/2017 2:22 PM
Addresses	Shipping Address	Insert			Canton Infusion Pharmacy 1051 N. Canton Center Rd Canton, MI 48187-5097	4/3/2017 2:22 PM
Addresses	Shipping Address	Insert			Northville Infusion Pharmacy 39901 Traditions Dr Suite 220 Northville, MI 48168	4/3/2017 2:22 PM
Addresses	Shipping Address	Insert			UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS 1500 EAST MEDICAL CENTER DRIVE RM B2 D400 ANN ARBOR, MI 48109	4/3/2017 2:22 PM
Addresses	Shipping Address	Insert			UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS 1500 EAST MEDICAL CENTER DRIVE DOCK 5 ANN ARBOR, MI 48109	4/3/2017 2:22 PM
Addresses	Shipping Address	Insert			UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS 1500 EAST MEDICAL CENTER DRIVE UH-B2F408 ANN ARBOR, MI 48109	4/3/2017 2:22 PM
Addresses	Shipping Address	Insert			KELLOGG PHARMACY 1000 WALL ST RM 4114 ANN ARBOR, MI 48105-1912	4/3/2017 2:22 PM
Contacts	Primary Contact	Insert			Schuman, Alice Asst.Director For Business Operations, UMH Pharmacy Administration 7349368210	4/3/2017 2:22 PM
Details	Last Recertification Date	Update		8/6/2015 12:00:00 AM	8/23/2016 12:00:00 AM	8/23/2016 10:28 AM
Medicaid Billing	NPI: Number	Insert			1003878539	2/24/2016 3:25 PM
Details	Last Recertification Date	Update		8/8/2014 12:00:00 AM	8/6/2015 12:00:00 AM	8/6/2015 11:46 AM
Details	Last Recertification Date	Update		8/26/2013 12:00:00 AM	8/8/2014 12:00:00 AM	8/8/2014 9:41 AM
Dates	Participating Approval Date	Update		9/12/2007 7:53:01 AM	9/12/2007 12:00:00 AM	5/29/2014 7:47 AM
Details	Last Recertification Date	Update		7/1/2012 12:00:00 AM	8/26/2013 12:00:00 AM	8/26/2013 2:36 PM
Details	Last Recertification Date	Update			7/1/2012 12:00:00 AM	5/30/2012 7:45 AM
Details	Last Recertification Date	Insert				9/12/2007 7:53 AM
Details	Grant Number	Insert				9/12/2007 7:53 AM
Details	340B ID	Insert			DSH230046	9/12/2007 7:53 AM
Details	Is Authorizing Official EHB Data	Insert				9/12/2007 7:53 AM
Dates	Last Date That 340B Drugs Purchased	Insert				9/12/2007 7:53 AM
Details	Medicare Provider Number	Insert			230046	9/12/2007 7:53 AM
Details	Entity Name	Insert			UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS	9/12/2007 7:53 AM
Details	Program Code	Insert			DSH	9/12/2007 7:53 AM
Details	Entity Subname	Insert				9/12/2007 7:53 AM
Dates	Participating Approval Date	Insert			9/12/2007 7:53:01 AM	9/12/2007 7:53 AM
Details	State	Insert			Active	9/12/2007 7:53 AM
Dates	Registration Date	Insert			9/12/2007 12:00:00 AM	9/12/2007 7:53 AM
Dates	Signed By Date	Insert				9/12/2007 7:53 AM
Dates	Start Date	Insert			1/1/2004 12:00:00 AM	9/12/2007 7:53 AM
Terminations	Termination Comments	Insert				9/12/2007 7:53 AM
Terminations	Termination Date	Insert				9/12/2007 7:53 AM
Terminations	Termination Effective Date	Insert				9/12/2007 7:53 AM
Terminations	Termination Reason	Insert				9/12/2007 7:53 AM