Contract Pharmacy Details

RITE AID OF MICHIGAN, INC.
CHC28352-02 ISABELLA CITIZENS FOR HEALTH, INC.

Covered Entity Details

Entity Name

ISABELLA CITIZENS FOR HEALTH, INC.

Subdivision Name

Isabella Citizens for Health

Type

HRSA-Funded Health Center

340B ID

CHC28352-02

Entity Address

2790 Health Pkwy
Mount Pleasant, MI 48858

Grant Number

H80CS28352

Participating Start Date

1/1/2020

Last Recertification Date

2/10/2025

Pharmacy Details

Pharmacy Name

RITE AID OF MICHIGAN, INC.

Pharmacy Address

RITE AID #3253
161 BEECH STREET
PO BOX 376
HARRISON, MI 48625

Pharmacy Comments

Contract Details

Approval Date

10/10/2023

Contract Begin Date

1/1/2024

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

7/1/2024
Pharmacy closed

Contacts

Covered Entity Signing Official

Jennifer White, Chief Executive Officer
(989) 953-5191 Ext: 1

Contract Pharmacy Representative

Rite Aid
Owen McMahon, GVP, Enterprise Pharmaceutical Purchasing
(717) 214-2505

Signed By Date

10/10/2023

340B Drug Pricing Program Database