340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
PERRY DRUG STORES, INC.
RRC230080-00 McLaren Central Michigan
Print
Covered Entity Details
Entity Name
McLaren Central Michigan
Subdivision Name
Type
Rural Referral Center
340B ID
RRC230080-00
Entity Address
1221 South Drive
Mount Pleasant, MI 48858
Medicare Provider Number
230080
Participating Start Date
10/1/2012
Last Recertification Date
9/3/2020
Entity Termination Date
10/1/2021
Pharmacy Details
Pharmacy Name
PERRY DRUG STORES, INC.
Pharmacy Address
RITE AID #4378
1341 WRIGHT AVENUE
ALMA, MI 48801
Pharmacy Comments
Contract Details
Approval Date
10/15/2020
Contract Begin Date
1/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2021
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Tara Soules, Chief Financial Officer
(989) 772-6818
Contract Pharmacy Representative
Rite Aid
Alison Farrell, Vice President, Managed Care
(717) 975-5968
Signed By Date
10/15/2020
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session