340B Drug Pricing Program Database

Pharmacy Name

HENRY FORD MACOMB

Pharmacy Address

AMBULATORY PHARMACY #1
16151 19 MILE RD
CLINTON TOWNSHIP, MI 48038-1158

Pharmacy Comments

Approval Date

7/1/2013

Contract Begin Date

10/1/2013

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

James Connelly, CFO
(313) 876-8714

Contract Pharmacy Representative

Richard Jennings, Director of Pharmacy
(586) 263-2651

Signed By Date

7/1/2013