340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
RITE AID OF MICHIGAN, INC.
CAH231305-00 MYMICHIGAN MEDICAL CENTER STANDISH
Print
Covered Entity Details
Entity Name
MYMICHIGAN MEDICAL CENTER STANDISH
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH231305-00
Entity Address
805 W. CEDAR
STANDISH, MI 48658
Medicare Provider Number
231305
Participating Start Date
9/30/2010
Last Recertification Date
9/5/2024
Pharmacy Details
Pharmacy Name
RITE AID OF MICHIGAN, INC.
Pharmacy Address
RITE AID #2549
301 SOUTH MAIN STREET
STANDISH, MI 48658
Pharmacy Comments
Contract Details
Approval Date
4/21/2016
Contract Begin Date
7/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/31/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Rose Goick, Chief Administrative Officer
(989) 846-3400 Ext: 3424
Contract Pharmacy Representative
Rite Aid
Alison Farrell, Vice President |Managed Care
(717) 975-5968
Signed By Date
4/21/2016
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