Contract Pharmacy Details

MEDCART SPECIALTY PHARMACY
FP003160 CENTRAL MICHIGAN DISTRICT HEALTH DEPARTMENT

Covered Entity Details

Entity Name

CENTRAL MICHIGAN DISTRICT HEALTH DEPARTMENT

Subdivision Name

Type

Family Planning (Title X only)

340B ID

FP003160

Entity Address

815 N. CLARE
Suite B
HARRISON, MI 48625

Grant Number

FPHPA006540

Participating Start Date

1/1/1998

Last Recertification Date

5/7/2025

Pharmacy Details

Pharmacy Name

MEDCART SPECIALTY PHARMACY

Pharmacy Address

32131 INDUSTRIAL ROAD
LIVONIA, MI 48150

Pharmacy Comments

Contract Details

Approval Date

1/27/2016

Contract Begin Date

4/1/2016

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

6/1/2017
Ownership change

Contacts

Covered Entity Signing Official

Lorrie Youngs, Director
(989) 773-5921 Ext: 1462

Contract Pharmacy Representative

MedCart Specialty Pharmacy
Ed Saleh, CEO
(734) 793-3951

Signed By Date

1/27/2016

340B Drug Pricing Program Database