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PERRY DRUG STORES, INC.
DSH230217 Oaklawn Hospital
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Covered Entity Details
Entity Name
Oaklawn Hospital
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH230217
Entity Address
200 North Madison
Marshall, MI 49068
Medicare Provider Number
230217
Participating Start Date
10/1/2011
Last Recertification Date
9/5/2024
Pharmacy Details
Pharmacy Name
PERRY DRUG STORES, INC.
Pharmacy Address
RITE AID #4369
30 EAST COLUMBIA AVE SUITE A
BATTLE CREEK, MI 49015
Pharmacy Comments
Contract Details
Approval Date
1/10/2020
Contract Begin Date
4/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
11/14/2023
Pharmacy closed
Contacts
Covered Entity Signing Official
Andrew James Poole, CFO
(269) 789-3936
Contract Pharmacy Representative
Rite Aid
Alison Farrell, Vice President, Managed Care
(717) 975-5968
Signed By Date
1/10/2020
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