Pharmacy Details

MEDIVERA COMPOUNDING PHARMACY - information as of 4/25/2025 6:53:18 PM

Name
MEDIVERA COMPOUNDING PHARMACY

Address

5225 CROOKS RD
TROY, MI 48098

Comments

Contracts
History

Contracts

Contract Detail	340B ID	Entity Name	Sub Name	Entity Type	Address	Address Cont.	City	State	Begin Date	Term Date	Edit Date
Details	DSH230121	The Memorial Hospital d/b/a Memorial Healthcare		Disproportionate Share Hospital	826 W. King Street		Owosso	MI	01/01/2019	01/01/2019	1/2/2019 9:08 AM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Pharmacy Address	Update		MEDIVERA COMPOUNDING PHARMACY 6054 LIVERNOIS RD. TROY, MI 48098	MEDIVERA COMPOUNDING PHARMACY 5225 CROOKS RD TROY, MI 48098	3/21/2025 2:36 PM
Addresses	Pharmacy Address	Update		UNIVERSITY COMPOUNDING PHARMACY 6054 LIVERNOIS RD. TROY, MI 48098	MEDIVERA COMPOUNDING PHARMACY 6054 LIVERNOIS RD. TROY, MI 48098	8/9/2024 2:01 PM
Details	Name	Update		UNIVERSITY COMPOUNDING PHARMACY	MEDIVERA COMPOUNDING PHARMACY	8/9/2024 2:01 PM
Addresses	Pharmacy Address	Insert			UNIVERSITY COMPOUNDING PHARMACY 6054 LIVERNOIS RD. TROY, MI 48098	12/7/2018 4:03 PM
Details	Name	Update		RX UNIVERSITY COMPOUNDING PHARMACY	UNIVERSITY COMPOUNDING PHARMACY	12/7/2018 4:03 PM
Addresses	Pharmacy Address	Insert			RX UNIVERSITY COMPOUNDING PHARMACY 6054 LIVERNOIS RD. TROY, MI 48098	9/29/2017 6:44 AM
Addresses	Pharmacy Address	Update		UNIVERSITY PHARMACY 2520 LIVERNOIS ROAD TROY, MI 48083	RX UNIVERSITY COMPOUNDING PHARMACY 6054 LIVERNOIS RD. TROY, MI 48098	3/28/2017 11:00 AM
Details	Name	Update		UNIVERSITY PHARMACY	RX UNIVERSITY COMPOUNDING PHARMACY	3/28/2017 11:00 AM
Details	Comments	Insert				3/28/2013 4:17 PM
Details	Is Deleted	Insert			False	3/28/2013 4:17 PM