340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
MEDCART SPECIALTY PHARMACY
RRC230130-00 WILLIAM BEAUMONT HOSPITAL dba Beaumont Hospital - Royal Oak
Print
Covered Entity Details
Entity Name
WILLIAM BEAUMONT HOSPITAL dba Beaumont Hospital - Royal Oak
Subdivision Name
Type
Rural Referral Center
340B ID
RRC230130-00
Entity Address
3601 WEST 13 MILE ROAD
ROYAL OAK, MI 48073-6769
Medicare Provider Number
230130
Participating Start Date
4/1/2017
Last Recertification Date
8/30/2023
Entity Termination Date
4/1/2024
Pharmacy Details
Pharmacy Name
MEDCART SPECIALTY PHARMACY
Pharmacy Address
32131 INDUSTRIAL RD.
LIVONIA, MI 48150
Pharmacy Comments
Contract Details
Approval Date
7/12/2021
Contract Begin Date
10/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2024
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Carolyn Wilson, Chief Operating Officer
(947) 522-3338
Contract Pharmacy Representative
Albertsons Companies
Chuck Hanson, Senior 340B Program Manager
(208) 395-6304
Signed By Date
7/12/2021
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session