340B Drug Pricing Program Database
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PERRY DRUG STORES, INC.
CAH231316-00 Hills & Dales General Hospital, Inc
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Covered Entity Details
Entity Name
Hills & Dales General Hospital, Inc
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH231316-00
Entity Address
4675 Hill Street
Cass City, MI 48726
Medicare Provider Number
231316
Participating Start Date
7/1/2012
Last Recertification Date
8/26/2024
Pharmacy Details
Pharmacy Name
PERRY DRUG STORES, INC.
Pharmacy Address
RITE AID #4455
625 NORTH STATE STREET
CARO, MI 48723
Pharmacy Comments
Contract Details
Approval Date
4/3/2019
Contract Begin Date
7/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/31/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Jean Anthony, CEO
(989) 912-6328
Contract Pharmacy Representative
Rite Aid
Alison Farrell, Vice President |Managed Care
(717) 975-5968
Signed By Date
4/3/2019
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