Contract Pharmacy Details

CRARY DRUG
CH052910 FAMILY MEDICAL CENTER OF MICHIGAN INC

Covered Entity Details

Entity Name

FAMILY MEDICAL CENTER OF MICHIGAN INC

Subdivision Name

FAMILY MEDICAL CENTER OF MI, INC

Type

HRSA-Funded Health Center

340B ID

CH052910

Entity Address

8765 Lewis Ave
Temperance, MI 48182-9583

Grant Number

H80CS00390

Participating Start Date

10/1/2001

Last Recertification Date

3/6/2025

Pharmacy Details

Pharmacy Name

CRARY DRUG

Pharmacy Address

8941 LEWIS AVE
TEMPERANCE, MI 48182-1656

Pharmacy Comments

Contract Details

Approval Date

2/8/2005

Contract Begin Date

2/8/2005

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

7/25/2019
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

Contract Pharmacy Representative

Signed By Date

340B Drug Pricing Program Database