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APEX DRUG STORES, INC.
CH052910 FAMILY MEDICAL CENTER OF MICHIGAN INC
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Covered Entity Details
Entity Name
FAMILY MEDICAL CENTER OF MICHIGAN INC
Subdivision Name
FAMILY MEDICAL CENTER OF MI, INC
Type
HRSA-Funded Health Center
340B ID
CH052910
Entity Address
8765 Lewis Ave
Temperance, MI 48182-9583
Grant Number
H80CS00390
Participating Start Date
10/1/2001
Last Recertification Date
3/6/2025
Pharmacy Details
Pharmacy Name
APEX DRUG STORES, INC.
Pharmacy Address
RITE AID #4405
1200 SOUTH MAIN ST STE A
ADRIAN, MI 49221
Pharmacy Comments
Contract Details
Approval Date
3/12/2013
Contract Begin Date
4/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/7/2023
Pharmacy closed
Contacts
Covered Entity Signing Official
Wendy Barnes, Group Vice President, Managed Care
(717) 730-8217
Contract Pharmacy Representative
Rite Aid
Tammy Royer, Group Vice President, Managed Care
(717) 730-8217
Signed By Date
1/15/2013
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