340B Drug Pricing Program Database

Pharmacy Name

RITE AID OF MICHIGAN, INC.

Pharmacy Address

RITE AID #1010
13916 S.W. BAY SHORE DRIVE
TRAVERSE CITY, MI 49684

Pharmacy Comments

Approval Date

4/15/2019

Contract Begin Date

7/1/2019

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

4/8/2025
Pharmacy closed

Covered Entity Signing Official

Heidi Britton, Chief Executive Officer
(231) 947-1112

Contract Pharmacy Representative

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

Signed By Date

4/15/2019