340B Drug Pricing Program Database

Pharmacy Name

PDS-I MICHIGAN, INC.

Pharmacy Address

RITE AID #4410
630 WEST MITCHELL STREET
PETOSKEY, MI 49770

Pharmacy Comments

Approval Date

7/27/2021

Contract Begin Date

10/1/2021

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

10/4/2022
Pharmacy closed

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