340B Drug Pricing Program Database
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CH05291CA FAMILY MEDICAL CENTER OF MICHIGAN, INC. (Active)
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Main Details
Name
FAMILY MEDICAL CENTER OF MICHIGAN, INC.
Subdivision Name
Family Medical Center - Cass Tech
Type
HRSA-Funded Health Center
Site ID
BPS-H80-037816
340B ID
CH05291CA
Grant Number
H80CS00390
Additional Details
Current Program Status
Active
Registration Date
10/2/2024
Participating Start Date
1/1/2025
Participating Approval Date
10/15/2024
Last Recertification Date
3/4/2025
Contacts
Authorizing Official
Family Medical Center of Michigan, Inc.
ED LARKINS, CEO
(734) 847-3802 Ext: 1412
Primary Contact
Family Medical Center of Michigan, Inc.
Zach Terrill, Director of Pharmacy
(517) 263-1800 Ext: 1215
Addresses
Street Address
2501 2nd Ave Fl 2
Detroit, MI 48201-2605
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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