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MEDCART SPECIALTY PHARMACY
RWI48434 Oakland Livingston Human Service Agency
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Covered Entity Details
Entity Name
Oakland Livingston Human Service Agency
Subdivision Name
Type
Ryan White Part A
340B ID
RWI48434
Entity Address
196 Cesar E. Chavez Ave
Pontiac, MI 48343-0598
Grant Number
H89HA00021
Participating Start Date
7/1/2016
Last Recertification Date
2/12/2017
Entity Termination Date
4/1/2018
Pharmacy Details
Pharmacy Name
MEDCART SPECIALTY PHARMACY
Pharmacy Address
32131 INDUSTRIAL ROAD
LIVONIA, MI 48150
Pharmacy Comments
Contract Details
Approval Date
4/14/2016
Contract Begin Date
7/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2018
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Ronald B. Borngesser, Chief Executive Officer
(248) 209-2603
Contract Pharmacy Representative
Nota Consulting Group, LLC
Fungisai Nota, 340B Program Manager
(610) 742-7763
Signed By Date
4/14/2016
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