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RITE AID OF MICHIGAN, INC.
CHC08752-00 LAKELAND IMMEDIATE CARE CENTER
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Covered Entity Details
Entity Name
LAKELAND IMMEDIATE CARE CENTER
Subdivision Name
DBA CASS FAMILY CLINIC
Type
HRSA-Funded Health Center
340B ID
CHC08752-00
Entity Address
261 M-62
Cassopolis, MI 49031-1034
Grant Number
H80CS08752
Participating Start Date
4/1/2010
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
RITE AID OF MICHIGAN, INC.
Pharmacy Address
RITE AID #3366
305 EAST STATE STREET
CASSOPOLIS, MI 49031
Pharmacy Comments
Contract Details
Approval Date
10/3/2013
Contract Begin Date
1/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
8/20/2024
Pharmacy closed
Contacts
Covered Entity Signing Official
MARY GEEGAN MIDDLETON, Chief Executive Officer
(269) 445-3874 Ext: 109
Contract Pharmacy Representative
Rite Aid
Tammy Royer, Group Vice President, Managed Care
(717) 730-8217
Signed By Date
10/3/2013
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