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RITE AID OF MICHIGAN, INC.
CH056430 Grace Health, Inc.
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Covered Entity Details
Entity Name
Grace Health, Inc.
Subdivision Name
Grace Health, Inc.
Type
HRSA-Funded Health Center
340B ID
CH056430
Entity Address
181 Emmett St W
Battle Creek, MI 49037-2963
Grant Number
H80CS00586
Participating Start Date
7/1/1998
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
RITE AID OF MICHIGAN, INC.
Pharmacy Address
RITE AID #2425
600 NORTH AVENUE
BATTLE CREEK, MI 49017
Pharmacy Comments
Contract Details
Approval Date
10/26/2012
Contract Begin Date
10/26/2012
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/26/2023
Pharmacy closed
Contacts
Covered Entity Signing Official
AJ Jones, President/CEO
(269) 966-2600
Contract Pharmacy Representative
Rite Aid
Ruth Lightner, Director
(717) 731-6524
Signed By Date
9/21/2012
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