Contract Pharmacy Details

PDS-I MICHIGAN, INC.
CH051980 ALCONA CITIZENS FOR HEALTH, INC.

Covered Entity Details

Entity Name

ALCONA CITIZENS FOR HEALTH, INC.

Subdivision Name

Alcona Health Center-Lincoln Services

Type

HRSA-Funded Health Center

340B ID

CH051980

Entity Address

177 N Barlow Rd
Harrisville, MI 48740

Grant Number

H80CS00679

Participating Start Date

1/1/2002

Last Recertification Date

2/19/2025

Pharmacy Details

Pharmacy Name

PDS-I MICHIGAN, INC.

Pharmacy Address

RITE AID #4579
1025 ASHMUN STREET
SAULT STE MARIE, MI 49783

Pharmacy Comments

Contract Details

Approval Date

7/6/2018

Contract Begin Date

10/1/2018

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

7/16/2024
Pharmacy closed

Contacts

Covered Entity Signing Official

Nancy Spencer, CEO
(989) 358-3916

Contract Pharmacy Representative

Rite Aid
Alison Farrell, Vice President |Managed Care
(717) 975-5968

Signed By Date

7/6/2018

340B Drug Pricing Program Database