340B Drug Pricing Program Database

Pharmacy Name

DIPLOMAT SPECIALTY PHARMACY

Pharmacy Address

G3320 BEECHER RD
FLINT, MI 48532-3614

Pharmacy Comments

Approval Date

4/3/2019

Contract Begin Date

7/1/2019

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

12/31/2019
Pharmacy closed

Covered Entity Signing Official

TIMOTHY MAURICE, CHIEF FINANCIAL OFFICER
(916) 734-4055

Contract Pharmacy Representative

Diplomat Pharmacy Inc.
Stacey Kennedy, Manager
(810) 732-8720

Signed By Date

4/3/2019