340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
HENRY FORD HOME INFUSION
HM4836 HENRY FORD HOSPITAL
Print
Covered Entity Details
Entity Name
HENRY FORD HOSPITAL
Subdivision Name
Adult Hemophilia Treatment Center
Type
Comprehensive Hemophilia Treatment Center
340B ID
HM4836
Entity Address
2800 WEST GRAND BLVD, 3 EAST
DETROIT, MI 48202
Grant Number
H30MC24047
Participating Start Date
10/1/1995
Last Recertification Date
3/3/2025
Pharmacy Details
Pharmacy Name
HENRY FORD HOME INFUSION
Pharmacy Address
21298 MELROSE AVENUE
SOUTHFIELD, MI 48075
Pharmacy Comments
Contract Details
Approval Date
7/10/2015
Contract Begin Date
10/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/12/2016
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Edward Chadwick, EVP, Finance and Admin & CFO
(313) 876-8714
Contract Pharmacy Representative
Henry Ford Home Infusion
Jacob Wong, Pharmacy Manager
(248) 827-3370 Ext: 217
Signed By Date
7/10/2015
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