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PERRY DRUG STORES, INC.
CHC24134-00 The Wellness Plan Medical Centers
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Covered Entity Details
Entity Name
The Wellness Plan Medical Centers
Subdivision Name
Gateway Medical Center
Type
HRSA-Funded Health Center
340B ID
CHC24134-00
Entity Address
2888 W.Grand Blvd.
Detroit, MI 48202-2612
Grant Number
H80CS24134
Participating Start Date
10/1/2012
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
PERRY DRUG STORES, INC.
Pharmacy Address
RITE AID #4301
360 N ML KING JR BLVD
PONTIAC, MI 48342
Pharmacy Comments
Contract Details
Approval Date
4/15/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/17/2024
Pharmacy closed
Contacts
Covered Entity Signing Official
Anthony King, CEO and Executive Director
(313) 202-6848
Contract Pharmacy Representative
Rite Aid
David Bell, Rep
(717) 761-2633 Ext: 5311
Signed By Date
4/15/2024
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