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RITE AID OF MICHIGAN, INC.
CHC28352-02 ISABELLA CITIZENS FOR HEALTH, INC.
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Covered Entity Details
Entity Name
ISABELLA CITIZENS FOR HEALTH, INC.
Subdivision Name
Isabella Citizens for Health
Type
HRSA-Funded Health Center
340B ID
CHC28352-02
Entity Address
2790 Health Pkwy
Mount Pleasant, MI 48858
Grant Number
H80CS28352
Participating Start Date
1/1/2020
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
RITE AID OF MICHIGAN, INC.
Pharmacy Address
RITE AID #3234
146 NORTH CORNING STREET
FARWELL, MI 48622
Pharmacy Comments
Contract Details
Approval Date
4/2/2020
Contract Begin Date
7/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/30/2024
Pharmacy closed
Contacts
Covered Entity Signing Official
Jennifer White, Chief Executive Officer
(989) 953-5191 Ext: 1
Contract Pharmacy Representative
Rite Aid
David Bell, Rep
(717) 761-2633 Ext: 5311
Signed By Date
4/2/2020
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