340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
PERRY DRUG STORES, INC.
DSH230130 Corewell Health William Beaumont University Hospital
Print
Covered Entity Details
Entity Name
Corewell Health William Beaumont University Hospital
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH230130
Entity Address
3601 WEST 13 MILE ROAD
ROYAL OAK, MI 48073-6769
Medicare Provider Number
230130
Participating Start Date
4/1/2024
Last Recertification Date
8/27/2024
Pharmacy Details
Pharmacy Name
PERRY DRUG STORES, INC.
Pharmacy Address
RITE AID #4452
BLOOMFIELD COMMONS
3669 W. MAPLE
BLOOMFIELD HILLS, MI 48301
Pharmacy Comments
Contract Details
Approval Date
1/31/2024
Contract Begin Date
4/1/2024
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/7/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Hardik Dalal, SVP, Finance & System-wide Pharmacy Finance
(312) 771-0810
Contract Pharmacy Representative
Rite Aid
Lisa Foster, Manager-Pharmacy
(717) 214-2518
Signed By Date
1/16/2024
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