340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
APEX DRUG STORES, INC.
SCH230036-00 MidMichigan Medical Center-Alpena
Print
Covered Entity Details
Entity Name
MidMichigan Medical Center-Alpena
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH230036-00
Entity Address
1501 W. CHISHOLM
ALPENA, MI 49707
Medicare Provider Number
230036
Participating Start Date
10/1/2018
Last Recertification Date
11/9/2017
Entity Termination Date
7/1/2019
Pharmacy Details
Pharmacy Name
APEX DRUG STORES, INC.
Pharmacy Address
RITE AID #4532
2140 US HIGHWAY 23 S
ALPENA, MI 49707
Pharmacy Comments
Contract Details
Approval Date
4/7/2017
Contract Begin Date
7/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2018
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Karmon Bjella, President
(989) 356-7245
Contract Pharmacy Representative
Rite Aid
Alison Farrell, Vice President |Managed Care
(717) 975-5968
Signed By Date
4/7/2017
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