340B Drug Pricing Program Database
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HM4836 HENRY FORD HOSPITAL (Active)
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Main Details
Name
HENRY FORD HOSPITAL
Subdivision Name
Adult Hemophilia Treatment Center
Type
Comprehensive Hemophilia Treatment Center
340B ID
HM4836
Grant Number
H30MC24047
Additional Details
Current Program Status
Active
Registration Date
10/1/1995
Participating Start Date
10/1/1995
Participating Approval Date
10/1/1995
Last Recertification Date
3/3/2025
Contacts
Authorizing Official
Henry Ford Hospital
Doug Clark, SVP - Corporate Finance
(313) 874-5446
Primary Contact
Henry Ford Hospital
Philip Kuriakose, Medical Director
(313) 916-3790
Addresses
Street Address
2800 WEST GRAND BLVD, 3 EAST
DETROIT, MI 48202
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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02/13/2012 added shipping address 2 for In-House Pharmacy; 2/7/12 program one of oldest in database, update AO and PC, add new mailing and shipping address. Verified shipping address has no pt care, just outpt home meds are stored at this pharmacyjh
02/13/2012
2/7/12 program one of oldest in database, update AO and PC, add new mailing and shipping address. Verified shipping address has no pt care, just outpt home meds are stored at this pharmacyjh
02/07/2012
May 2025
May 2025
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