340B Drug Pricing Program Database

Pharmacy Name

RITE AID OF MICHIGAN, INC.

Pharmacy Address

RITE AID #2504
250 SOUTH LAKE ST SUITE A
EAST JORDAN, MI 49727

Pharmacy Comments

Approval Date

7/27/2021

Contract Begin Date

10/1/2021

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

6/3/2022
Business decision by covered entity and/or pharmacy

Covered Entity Signing Official

Tara Soules, Chief Financial Officer
(989) 772-6818

Contract Pharmacy Representative

Rite Aid
Alison Farrell, Vice President Managed Care
(717) 975-5978

Signed By Date

7/15/2021