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PERRY DRUG STORES, INC.
CAH231329-00 CARO COMMUNITY HOSPITAL
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Covered Entity Details
Entity Name
CARO COMMUNITY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH231329-00
Entity Address
401 N HOOPER ST
CARO, MI 48723
Medicare Provider Number
231329
Participating Start Date
4/21/2021
Last Recertification Date
8/26/2024
Pharmacy Details
Pharmacy Name
PERRY DRUG STORES, INC.
Pharmacy Address
RITE AID #4455
625 NORTH STATE STREET
CARO, MI 48723
Pharmacy Comments
Contract Details
Approval Date
4/20/2021
Contract Begin Date
4/21/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
8/15/2024
Pharmacy closed
Contacts
Covered Entity Signing Official
Danielle Christine Jacks-Porter, Chief Financial Officer
(989) 894-3838
Contract Pharmacy Representative
Rite Aid
Alison Farrell, Vice President |Managed Care
(717) 975-5968
Signed By Date
4/15/2021
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