340B Drug Pricing Program Database

Pharmacy Name

PERRY DRUG STORES, INC.

Pharmacy Address

RITE AID #4495
1201A SOUTH DIVISION STREET
TRAVERSE CITY, MI 49684

Pharmacy Comments

Approval Date

4/5/2017

Contract Begin Date

7/1/2017

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

12/1/2023
Pharmacy closed

Covered Entity Signing Official

Mark Hepler, CFO
(231) 935-6702

Contract Pharmacy Representative

Rite Aid
Alison Farrell, Vice President |Managed Care
(717) 975-5968

Signed By Date

4/5/2017