340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
RITE AID OF MICHIGAN, INC.
CHC26572-01 MyCare Heatlh Center
Print
Covered Entity Details
Entity Name
MyCare Heatlh Center
Subdivision Name
Center Line
Type
HRSA-Funded Health Center
340B ID
CHC26572-01
Entity Address
6900 E 10 Mile Rd
Center Line, MI 48015-1168
Grant Number
H80CS26572
Participating Start Date
7/1/2014
Last Recertification Date
2/25/2025
Pharmacy Details
Pharmacy Name
RITE AID OF MICHIGAN, INC.
Pharmacy Address
RITE AID #4897
25425 VAN DYKE AVENUE
CENTER LINE, MI 48015
Pharmacy Comments
Contract Details
Approval Date
1/4/2021
Contract Begin Date
4/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/16/2021
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Karen Wood, Wood
(586) 619-9986 Ext: 13
Contract Pharmacy Representative
Rite Aid
Alison Farrell, Vice President |Managed Care
(717) 975-5968
Signed By Date
1/4/2021
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