Contract Pharmacy Details

RITE AID OF MICHIGAN, INC.
CH05183N INGHAM, COUNTY OF

Covered Entity Details

Entity Name

INGHAM, COUNTY OF

Subdivision Name

New Hope Community Health Center

Type

HRSA-Funded Health Center

340B ID

CH05183N

Entity Address

430 N. Larch St.
Suite 1
Lansing, MI 48912-1266

Grant Number

H80CS00030

Participating Start Date

1/1/2018

Last Recertification Date

1/29/2024

Entity Termination Date

1/1/2025

Pharmacy Details

Pharmacy Name

RITE AID OF MICHIGAN, INC.

Pharmacy Address

RITE AID #1615
1004 EAST MICHIGAN AVENUE
LANSING, MI 48912

Pharmacy Comments

Contract Details

Approval Date

10/15/2023

Contract Begin Date

1/1/2024

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

7/15/2024
Pharmacy closed

Contacts

Covered Entity Signing Official

Kris Drake, Executive Director/Deputy Health Officer
(517) 887-4361

Contract Pharmacy Representative

Rite Aid
Owen McMahon, Group Vice President-Enterprise pharmaceutical Purchasing
(717) 732-0711

Signed By Date

10/15/2023

340B Drug Pricing Program Database