340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
MEDCART PHARMACY
RWI48201 Matrix Human Services
Print
Covered Entity Details
Entity Name
Matrix Human Services
Subdivision Name
Matrix Quality Care - Ryan White Division
Type
Ryan White Part A
340B ID
RWI48201
Entity Address
1400 Woodbridge Street
Detroit, MI 48207
Grant Number
H89HA00021
Participating Start Date
1/1/2015
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
MEDCART PHARMACY
Pharmacy Address
1964 W. 11 MILE RD. SUITE C
BERKLEY, MI 48072
Pharmacy Comments
Contract Details
Approval Date
5/25/2017
Contract Begin Date
7/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
David Perkins, Vice President of Health Care Services
(248) 819-0489
Contract Pharmacy Representative
Nota Consulting Group, LLC
Fungisai Nota, 340B Program Manager
(610) 742-7763
Signed By Date
5/25/2017
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