Contract Pharmacy Details

MEDCART SPECIALTY PHARMACY
RWI482021 Wellness Networks, Inc

Covered Entity Details

Entity Name

Wellness Networks, Inc

Subdivision Name

Type

Ryan White Part A

340B ID

RWI482021

Entity Address

3968 Mount Elliott Street
Detroit, MI 48207

Grant Number

H89HA00021

Participating Start Date

7/1/2018

Last Recertification Date

1/31/2024

Entity Termination Date

10/1/2024

Pharmacy Details

Pharmacy Name

MEDCART SPECIALTY PHARMACY

Pharmacy Address

32131 INDUSTRIAL ROAD
LIVONIA, MI 48150

Pharmacy Comments

Contract Details

Approval Date

10/14/2015

Contract Begin Date

1/1/2016

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

4/1/2018
Covered Entity Terminated

Contacts

Covered Entity Signing Official

William VanHemert, President / CEO
(313) 446-9808

Contract Pharmacy Representative

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

Signed By Date

10/14/2015

340B Drug Pricing Program Database