340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
RITE AID OF MICHIGAN, INC.
CAH231301-00 KALKASKA MEMORIAL HEALTH CENTER
Print
Covered Entity Details
Entity Name
KALKASKA MEMORIAL HEALTH CENTER
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH231301-00
Entity Address
419 S. CORAL ST.
KALKASKA, MI 49646
Medicare Provider Number
231301
Participating Start Date
8/31/2010
Last Recertification Date
8/21/2024
Pharmacy Details
Pharmacy Name
RITE AID OF MICHIGAN, INC.
Pharmacy Address
RITE AID #3966
902 NORTH CEDAR ST
KALKASKA, MI 49646
Pharmacy Comments
Contract Details
Approval Date
10/7/2014
Contract Begin Date
1/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
8/14/2024
Pharmacy closed
Contacts
Covered Entity Signing Official
SHEILA ATWOOD, administrative Director Patient Care Services
(231) 258-7505
Contract Pharmacy Representative
Rite Aid
Alison Farrell, Vice President |Managed Care
(717) 975-5968
Signed By Date
10/7/2014
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