340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
PERRY DRUG STORES, INC.
CHC28354-00 OAKLAND INTEGRATED HEALTHCARE NETWORK
Print
Covered Entity Details
Entity Name
OAKLAND INTEGRATED HEALTHCARE NETWORK
Subdivision Name
Family Medicine Center
Type
HRSA-Funded Health Center
340B ID
CHC28354-00
Entity Address
461 West Huron, Suite 107
Pontiac, MI 48341-1601
Grant Number
H80CS28354
Participating Start Date
4/1/2016
Last Recertification Date
2/21/2025
Pharmacy Details
Pharmacy Name
PERRY DRUG STORES, INC.
Pharmacy Address
RITE AID #4302
1186 BALDWIN AVENUE
PONTIAC, MI 48340
Pharmacy Comments
Contract Details
Approval Date
3/2/2016
Contract Begin Date
4/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
8/1/2024
Pharmacy closed
Contacts
Covered Entity Signing Official
Debbie Brinson, CEO
(248) 724-7438
Contract Pharmacy Representative
Rite Aid
Alison Farrell, Vice President |Managed Care
(717) 975-5968
Signed By Date
3/2/2016
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