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BARBARA ANN KARMANOS CANCER HOSPITAL
DSH230297A Barbara Ann Karmanos Cancer Hospital DBA Karmanos Cancer Center
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Covered Entity Details
Entity Name
Barbara Ann Karmanos Cancer Hospital DBA Karmanos Cancer Center
Subdivision Name
WEISBERG CANCER CENTER
Type
Disproportionate Share Hospital
340B ID
DSH230297A
Entity Address
31995 NORTHWESTERN HWY
FARMINGTON HILLS, MI 48334
Medicare Provider Number
230297
Outpatient Facility Provider Number
Participating Start Date
4/1/2002
Last Recertification Date
8/27/2024
Pharmacy Details
Pharmacy Name
BARBARA ANN KARMANOS CANCER HOSPITAL
Pharmacy Address
DBA KARMANOS SPECIALTY PHARMACY
711 STEPHENSON HWY
TROY, MI 48083-1128
Pharmacy Comments
Contract Details
Approval Date
7/11/2018
Contract Begin Date
10/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/31/2019
Agreement registered in error
Contacts
Covered Entity Signing Official
Brian Gamble, Chief Financial Officer
(313) 576-8935
Contract Pharmacy Representative
Karmanos Cancer Center
Lucius Daniel, Pharmacy Specialist
(888) 577-4968
Signed By Date
7/11/2018
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