340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
MCLAREN DRUG SHOP-MCRMC
DSH230207 McLaren Oakland
Print
Covered Entity Details
Entity Name
McLaren Oakland
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH230207
Entity Address
50 N Perry St
Pontiac, MI 48342-2217
Medicare Provider Number
230207
Participating Start Date
1/1/2005
Last Recertification Date
8/26/2024
Pharmacy Details
Pharmacy Name
MCLAREN DRUG SHOP-MCRMC
Pharmacy Address
1000 HARRINGTON
MOUNT CLEMENS, MI 48043
Pharmacy Comments
Contract Details
Approval Date
10/26/2016
Contract Begin Date
1/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
11/30/2018
Pharmacy closed
Contacts
Covered Entity Signing Official
Matthew LeGault, CFO
(248) 338-5691
Contract Pharmacy Representative
MHG
Danielle Hilborn, VP of Pharmacy Services
(810) 496-8857
Signed By Date
10/26/2016
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