340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
PDS-I MICHIGAN, INC.
SCH230110-00 Corewell Health Ludington Hospital
Print
Covered Entity Details
Entity Name
Corewell Health Ludington Hospital
Subdivision Name
Ludington
Type
Sole Community Hospital
340B ID
SCH230110-00
Entity Address
1 N Atkinson Dr
Ludington, MI 49431
Medicare Provider Number
230110
Participating Start Date
1/1/2020
Last Recertification Date
8/22/2024
Pharmacy Details
Pharmacy Name
PDS-I MICHIGAN, INC.
Pharmacy Address
RITE AID #4567
936 EAST LUDINGTON AVE.
LUDINGTON, MI 49431
Pharmacy Comments
Contract Details
Approval Date
4/18/2022
Contract Begin Date
7/1/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/22/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
John Sella, Senior Director, Finance
(616) 643-9168
Contract Pharmacy Representative
Rite Aid
Charlene Kaiser, VP, Managed Care Operations
(918) 645-6652
Signed By Date
4/18/2022
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