340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
PHARMBLUE LLC DBA AVITA PHARMACY 1059
CHC26572-04 MyCare Heatlh Center
Print
Covered Entity Details
Entity Name
MyCare Heatlh Center
Subdivision Name
Groesbeck MyCare
Type
HRSA-Funded Health Center
340B ID
CHC26572-04
Entity Address
43740 N Groesbeck Hwy
Clinton Township, MI 48036-1139
Grant Number
H80CS26572
Participating Start Date
7/1/2014
Last Recertification Date
2/24/2025
Pharmacy Details
Pharmacy Name
PHARMBLUE LLC DBA AVITA PHARMACY 1059
Pharmacy Address
1226 CHESTNUT ST
PHILADELPHIA, PA 19107
Pharmacy Comments
Contract Details
Approval Date
7/18/2014
Contract Begin Date
10/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
8/8/2017
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Darlene Vasi, CEO
(248) 689-1340
Contract Pharmacy Representative
PharmBlue
Gabriel Santry, Director of National Accounts
(724) 779-4720 Ext: 017
Signed By Date
7/18/2014
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