340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
MERCY MEMORIAL MACOMB PHARMACY
CH05291C FAMILY MEDICAL CENTER OF MICHIGAN INC
Print
Covered Entity Details
Entity Name
FAMILY MEDICAL CENTER OF MICHIGAN INC
Subdivision Name
Family Medical Center of Michigan Monroe
Type
HRSA-Funded Health Center
340B ID
CH05291C
Entity Address
905 N Macomb
Monroe, MI 48162-3075
Grant Number
H80CS00390
Participating Start Date
7/1/2009
Last Recertification Date
2/13/2018
Entity Termination Date
4/1/2019
Pharmacy Details
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)
Contract Details
Approval Date
5/11/2010
Contract Begin Date
5/15/2010
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2019
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
4/30/2010
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