340B Drug Pricing Program Database
KROGER
SCH180038-00 OWENSBORO HEALTH INC - information as of 4/28/2025 2:02:09 AM
Covered Entity Details
Entity Name
OWENSBORO HEALTH INC
Subdivision Name
OWENSBORO HEALTH REGIONAL HOSPITAL
Type
Sole Community Hospital
340B ID
SCH180038-00
Entity Address
1201 Pleasant Valley Road
OWENSBORO, KY 42303
Medicare Provider Number
180038
Participating Start Date
8/5/2010
Last Recertification Date
9/14/2022
Entity Termination Date
10/1/2023
Pharmacy Details
Pharmacy Name
KROGER
Pharmacy Address
2308 EAST 4TH STREET
OWENSBORO, KY 42301
Pharmacy Comments
Contract Details
Approval Date
4/18/2014
Contract Begin Date
7/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/30/2017
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
JOHN HACKBARTH, SENIOR VP & CFO
(270) 417-4813
Contract Pharmacy Representative
Kroger
Mike Puccini, New Business Development Manager
(513) 762-4672
Signed By Date
4/18/2014
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