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PERRY DRUG STORES, INC.
RRC230080-00 McLaren Central Michigan
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Covered Entity Details
Entity Name
McLaren Central Michigan
Subdivision Name
Type
Rural Referral Center
340B ID
RRC230080-00
Entity Address
1221 South Drive
Mount Pleasant, MI 48858
Medicare Provider Number
230080
Participating Start Date
10/1/2012
Last Recertification Date
9/3/2020
Entity Termination Date
10/1/2021
Pharmacy Details
Pharmacy Name
PERRY DRUG STORES, INC.
Pharmacy Address
RITE AID #4505
117 NORTH MISSION STREET
MT PLEASANT, MI 48858
Pharmacy Comments
Contract Details
Approval Date
7/10/2013
Contract Begin Date
10/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
5/1/2019
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
William P. Lawrence, President and CEO
(989) 772-6730
Contract Pharmacy Representative
Rite Aid
Tammy Royer, Group Vice President, Managed Care
(717) 730-8217
Signed By Date
7/10/2013
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