Pharmacy Details

KROGER PHARMACY L-403 - information as of 5/6/2025 12:15:50 AM

Name
KROGER PHARMACY L-403

Address

1509 EAST BROADWAY
CAMPBELLSVILLE, KY 42718

Comments

Contracts
History

Contracts

Contract Detail	340B ID	Entity Name	Sub Name	Entity Type	Address	Address Cont.	City	State	Begin Date	Term Date	Edit Date
Details	CH0452070	CUMBERLAND FAMILY MEDICAL CENTER, INC.	CUMBERLAND FAMILY MEDICAL CENTER	HRSA-Funded Health Center	360 KEEN STREET		BURKESVILLE	KY	10/01/2019	03/24/2022	4/1/2022 2:25 PM
Details	DSH180040	UofL Health -- Louisville		Disproportionate Share Hospital	200 ABRAHAM FLEXNER WAY		LOUISVILLE	KY	07/01/2019	09/30/2021	10/4/2021 7:57 AM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Pharmacy Address	Insert			KROGER PHARMACY L-403 1509 EAST BROADWAY CAMPBELLSVILLE, KY 42718	9/29/2017 6:44 AM
Details	Comments	Insert				3/28/2013 4:15 PM
Details	Is Deleted	Insert			False	3/28/2013 4:15 PM
Addresses	Pharmacy Address	Insert			KROGER PHARMACY L-403 1509 EAST BROADWAY CAMPBELLSVILLE, KY 42718	3/28/2013 4:15 PM
Details	Name	Insert			KROGER PHARMACY L-403	3/28/2013 4:15 PM