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PERRY DRUG STORES, INC.
CHC24134-00 The Wellness Plan Medical Centers
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Covered Entity Details
Entity Name
The Wellness Plan Medical Centers
Subdivision Name
Gateway Medical Center
Type
HRSA-Funded Health Center
340B ID
CHC24134-00
Entity Address
2888 W.Grand Blvd.
Detroit, MI 48202-2612
Grant Number
H80CS24134
Participating Start Date
10/1/2012
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
PERRY DRUG STORES, INC.
Pharmacy Address
RITE AID #4302
1186 BALDWIN AVENUE
PONTIAC, MI 48340
Pharmacy Comments
Contract Details
Approval Date
4/21/2021
Contract Begin Date
7/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
8/1/2024
Pharmacy closed
Contacts
Covered Entity Signing Official
Anthony King, CEO and Executive Director
(313) 202-6848
Contract Pharmacy Representative
RITE AID
REBECCA BADDORF, MANAGER, PHARMACEUTICAL REPLENISHMENT PROGRAMS
(717) 214-2518
Signed By Date
4/21/2021
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