Pharmacy Details

FAIRLANE PHARMACY SERVICES CORP - information as of 4/30/2025 12:02:12 AM

Name
FAIRLANE PHARMACY SERVICES CORP

Address

22505 ALLEN RD
WOODHAVEN, MI 48183

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	DSH230053	HENRY FORD HOSPITAL		Disproportionate Share Hospital	2799 WEST GRAND BLVD		DETROIT	MI	07/01/2013		7/27/2017 1:48 PM
Details	RRC230146-00	HENRY FORD HEALTH WYANDOTTE HOSPITAL		Rural Referral Center	2333 BIDDLE		WYANDOTTE	MI	10/01/2018		10/1/2018 12:05 AM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Pharmacy Address	Insert			FAIRLANE PHARMACY SERVICES CORP 22505 ALLEN RD WOODHAVEN, MI 48183	8/11/2020 7:16 PM
Addresses	Pharmacy Address	Insert			FAIRLANE PHARMACY SERVICES CORP 22505 ALLEN ROAD WOODHAVEN, MI 48183	9/29/2017 6:44 AM
Details	Comments	Insert				3/28/2013 4:17 PM
Details	Is Deleted	Insert			False	3/28/2013 4:17 PM
Addresses	Pharmacy Address	Insert			FAIRLANE PHARMACY SERVICES CORP 22505 ALLEN ROAD WOODHAVEN, MI 48183	3/28/2013 4:17 PM
Details	Name	Insert			FAIRLANE PHARMACY SERVICES CORP	3/28/2013 4:17 PM