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RITE AID OF MICHIGAN, INC.
CH05198AE Alcona Citizens For Health, Inc.
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Covered Entity Details
Entity Name
Alcona Citizens For Health, Inc.
Subdivision Name
Dr. Rudy Barba Psychiatry Services
Type
HRSA-Funded Health Center
340B ID
CH05198AE
Entity Address
101 S. Union Street Unit 101 RM 1
Plymouth, MI 48170
Grant Number
H80CS00679
Participating Start Date
4/1/2018
Last Recertification Date
2/20/2025
Pharmacy Details
Pharmacy Name
RITE AID OF MICHIGAN, INC.
Pharmacy Address
RITE AID #1691
1133 NORTH US 31
PETOSKEY, MI 49770
Pharmacy Comments
Contract Details
Approval Date
4/10/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/8/2024
Pharmacy closed
Contacts
Covered Entity Signing Official
Nancy Spencer, CEO
(989) 358-3916
Contract Pharmacy Representative
Rite Aid
Alison Farrell, Vice President |Managed Care
(717) 975-5968
Signed By Date
4/10/2024
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