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NOVIXUS PHARMACY SERVICES
DSH230046 UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS
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Covered Entity Details
Entity Name
UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH230046
Entity Address
1500 EAST MEDICAL CENTER DRIVE
ANN ARBOR, MI 48109
Medicare Provider Number
230046
Participating Start Date
1/1/2004
Last Recertification Date
8/20/2024
Pharmacy Details
Pharmacy Name
NOVIXUS PHARMACY SERVICES
Pharmacy Address
43159 W 9 MILE RD.
NOVI, MI 48375-4117
Pharmacy Comments
Contract Details
Approval Date
4/13/2017
Contract Begin Date
4/13/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
8/4/2021
Ownership change
Contacts
Covered Entity Signing Official
Jeffrey S. Desmond, Chief Medical Officer
(734) 936-5814
Contract Pharmacy Representative
Novixus Pharmacy Services
Richard Grossman, Vice President of Pharmacy Services
(248) 380-2105
Signed By Date
4/13/2017
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