340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
RITE AID OF MICHIGAN, INC.
CH05220AF DOWNRIVER COMMUNITY SERVICES INC
Print
Covered Entity Details
Entity Name
DOWNRIVER COMMUNITY SERVICES INC
Subdivision Name
DCS Port Huron Medical Clinic
Type
HRSA-Funded Health Center
340B ID
CH05220AF
Entity Address
1011 Military St
Port Huron, MI 48060-5416
Grant Number
H80CS00497
Participating Start Date
4/1/2011
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
RITE AID OF MICHIGAN, INC.
Pharmacy Address
RITE AID #4022
59010 GRATIOT AVENUE
NEW HAVEN, MI 48048
Pharmacy Comments
Contract Details
Approval Date
10/11/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Mike Baranowski, CEO
(586) 270-8055
Contract Pharmacy Representative
Rite Aid
Charlene Kaiser, VP, Managed Care Operations
(918) 645-6652
Signed By Date
10/11/2023
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