Contract Pharmacy Details

PDS-I MICHIGAN, INC.
CH050360 Great Lakes Bay Health Centers

Covered Entity Details

Entity Name

Great Lakes Bay Health Centers

Subdivision Name

Great Lakes Bay Health Centers David R. Gamez

Type

HRSA-Funded Health Center

340B ID

CH050360

Entity Address

501 Lapeer Ave
Saginaw, MI 48607

Grant Number

H80CS00689

Participating Start Date

12/1/1992

Last Recertification Date

2/27/2025

Pharmacy Details

Pharmacy Name

PDS-I MICHIGAN, INC.

Pharmacy Address

RITE AID #4564
531 WEST GENESEE AVENUE
SAGINAW, MI 48602

Pharmacy Comments

Contract Details

Approval Date

10/13/2023

Contract Begin Date

1/1/2024

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

12/13/2023
Pharmacy closed

Contacts

Covered Entity Signing Official

Amy Colleen Evans, CFO
(989) 759-6438

Contract Pharmacy Representative

Rite Aid
Alison Farrell, Vice President |Managed Care
(717) 975-5968

Signed By Date

10/13/2023

340B Drug Pricing Program Database