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RITE AID OF MICHIGAN, INC.
CAH231316-00 Hills & Dales General Hospital, Inc
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Covered Entity Details
Entity Name
Hills & Dales General Hospital, Inc
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH231316-00
Entity Address
4675 Hill Street
Cass City, MI 48726
Medicare Provider Number
231316
Participating Start Date
7/1/2012
Last Recertification Date
8/26/2024
Pharmacy Details
Pharmacy Name
RITE AID OF MICHIGAN, INC.
Pharmacy Address
RITE AID #3315
2985 MAIN STREET
MARLETTE, MI 48453
Pharmacy Comments
Contract Details
Approval Date
7/1/2014
Contract Begin Date
10/1/2014
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
Jean Anthony, CEO
(989) 912-6328
Contract Pharmacy Representative
Rite Aid
Tammy Royer, Group Vice President, Managed Care
(717) 730-8217
Signed By Date
7/1/2014
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