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RITE AID OF MICHIGAN, INC.
CH05036C Great Lakes Bay Health Centers
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Covered Entity Details
Entity Name
Great Lakes Bay Health Centers
Subdivision Name
Great Lakes Bay Health Centers Janes Street
Type
HRSA-Funded Health Center
340B ID
CH05036C
Entity Address
1522 Janes St
Saginaw, MI 48601
Grant Number
H80CS00689
Participating Start Date
4/1/1999
Last Recertification Date
2/27/2025
Pharmacy Details
Pharmacy Name
RITE AID OF MICHIGAN, INC.
Pharmacy Address
RITE AID #1615
1004 EAST MICHIGAN AVENUE
LANSING, MI 48912
Pharmacy Comments
Contract Details
Approval Date
4/14/2020
Contract Begin Date
7/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/15/2021
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Amy Colleen Evans, CFO
(989) 759-6438
Contract Pharmacy Representative
Rite Aid
Alison Farrell, Vice President |Managed Care
(717) 975-5968
Signed By Date
4/14/2020
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