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RITE AID OF MICHIGAN, INC.
CH051830 INGHAM COUNTY HEALTH DEPARTMENT
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Covered Entity Details
Entity Name
INGHAM COUNTY HEALTH DEPARTMENT
Subdivision Name
CEDAR COMMUNITY HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH051830
Entity Address
5303 S. Cedar St.
LANSING, MI 48911-3800
Grant Number
H80CS00030
Participating Start Date
10/1/2007
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
RITE AID OF MICHIGAN, INC.
Pharmacy Address
RITE AID #1612
2263 CEDAR STREET
HOLT, MI 48842
Pharmacy Comments
Contract Details
Approval Date
10/1/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/31/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Anne C. Scott, Executive Director/Deputy Health Officer
(517) 887-4361
Contract Pharmacy Representative
Rite Aid
Alison Farrell, Vice President |Managed Care
(717) 975-5968
Signed By Date
10/1/2019
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