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RITE AID OF MICHIGAN, INC.
CH053300 HAMILTON COMMUNITY HEALTH NETWORK, INC.
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Covered Entity Details
Entity Name
HAMILTON COMMUNITY HEALTH NETWORK, INC.
Subdivision Name
Hamilton Community Health Network, Inc. - New Main
Type
HRSA-Funded Health Center
340B ID
CH053300
Entity Address
2900 N. Saginaw
Flint, MI 48505-4452
Grant Number
H80CS00435
Participating Start Date
1/1/2000
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
RITE AID OF MICHIGAN, INC.
Pharmacy Address
RITE AID #1587
4519 RICHFIELD ROAD
FLINT, MI 48506
Pharmacy Comments
Contract Details
Approval Date
1/11/2024
Contract Begin Date
4/1/2024
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/26/2024
Pharmacy closed
Contacts
Covered Entity Signing Official
CLARENCE PIERCE, CEO
(810) 406-4951
Contract Pharmacy Representative
Rite Aid
Owen McMahon, GVP, Enterprise Pharmaceutical Purchasing
(717) 214-2505
Signed By Date
1/11/2024
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