340B Drug Pricing Program Database
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CH05291AF 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 - Monroe Middle School
Type
HRSA-Funded Health Center
Site ID
BPS-H80-031256
340B ID
CH05291AF
Grant Number
H80CS00390
Additional Details
Current Program Status
Active
Registration Date
7/13/2022
Participating Start Date
10/1/2022
Participating Approval Date
7/25/2022
Last Recertification Date
3/6/2025
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
503 Washington St Rm 150
Monroe, MI 48161-1309
Billing Address
Family Medical Center of Michigan Inc
8765 Lewis Ave
Temperance, MI 48182
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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