340B Drug Pricing Program Database
KROGER PHARMACY
CH05290I COMMUNITY ACTION COMMITTEE OF PIKE COUNTY, THE - information as of 5/13/2025 2:31:12 AM
Covered Entity Details
Entity Name
COMMUNITY ACTION COMMITTEE OF PIKE COUNTY, THE
Subdivision Name
JACKSON FAMILY HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH05290I
Entity Address
14590 STATE ROUTE 93
JACKSON, OH 45640-8977
Grant Number
H80CS00399
Participating Start Date
11/7/2005
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
KROGER PHARMACY
Pharmacy Address
530 E. MAIN STREET
JACKSON, OH 45640
Pharmacy Comments
Contract Details
Approval Date
12/6/2005
Contract Begin Date
12/6/2005
Carve-In Effective Date
Contract Comments
4/7/2008-UPDATED ADDRESS OF CONTRACT PHARMACY (WAS 560 E. MAIN STREET)
Contract Termination Date
Termination Reason
10/2/2024
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
12/1/2005
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