340B Drug Pricing Program Database

Pharmacy Name

MERCY MEMORIAL MACOMB PHARMACY

Pharmacy Address

730 N MACOMB ST STE 305
MONROE, MI 48162-2904

Pharmacy Comments

6/21/10 UPDATED ADDR (WAS 718 NORTH MACOMB STREET)

Approval Date

11/18/2021

Contract Begin Date

1/1/2022

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

10/1/2024
Business decision by covered entity and/or pharmacy

Covered Entity Signing Official

Joseph Raj Jr., Director Finance
(734) 240-4524

Contract Pharmacy Representative

Monroe Regional Hospital
Jennifer Sell, Director Pharmacy
(734) 240-5295

Signed By Date

10/15/2021