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CROWN SPECIALTY PHARMACY
RWI48216 Health Emergency Lifeline Program
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Covered Entity Details
Entity Name
Health Emergency Lifeline Program
Subdivision Name
Type
Ryan White Part A
340B ID
RWI48216
Entity Address
1726 Howard St
Detroit, MI 48216
Grant Number
H89HA00021
Participating Start Date
1/1/2016
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
CROWN SPECIALTY PHARMACY
Pharmacy Address
CROWN PHARMACY
24401 PLYMOUTH RD
REDFORD, MI 48239-1616
Pharmacy Comments
Contract Details
Approval Date
4/3/2016
Contract Begin Date
7/1/2016
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Anthony Williams, Chief Executive Officer
(313) 832-3300 Ext: 215
Contract Pharmacy Representative
Crown Specialty Pharmacy
Val Randall, Manager
(313) 532-3784
Signed By Date
4/3/2016
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