Contract Pharmacy Details

RITE AID OF MICHIGAN, INC.
CH051830 INGHAM COUNTY HEALTH DEPARTMENT

Covered Entity Details

Entity Name

INGHAM COUNTY HEALTH DEPARTMENT

Subdivision Name

CEDAR COMMUNITY HEALTH CENTER

Type

HRSA-Funded Health Center

340B ID

CH051830

Entity Address

5303 S. Cedar St.
LANSING, MI 48911-3800

Grant Number

H80CS00030

Participating Start Date

10/1/2007

Last Recertification Date

2/10/2025

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

7/28/2016

Contract Begin Date

10/1/2016

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

7/15/2024
Pharmacy closed

Contacts

Covered Entity Signing Official

Russell S. Kolski, Interim CHC Executive Director/Deputy Health Officer
(517) 887-4361

Contract Pharmacy Representative

Rite Aid
Alison Farrell, Vice President |Managed Care
(717) 975-5968

Signed By Date

7/28/2016

340B Drug Pricing Program Database