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KROGER PHARMACY #504
CH037150 RICHMOND, CITY OF
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Covered Entity Details
Entity Name
RICHMOND, CITY OF
Subdivision Name
VERNON J. HARRIS EAST END CHC
Type
HRSA-Funded Health Center
340B ID
CH037150
Entity Address
719 N 25th St
Richmond, VA 23223-6539
Grant Number
H80CS00174
Participating Start Date
4/1/2000
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
KROGER PHARMACY #504
Pharmacy Address
3507 W. CARY STREET
RICHMOND, VA 23221
Pharmacy Comments
Contract Details
Approval Date
6/15/2012
Contract Begin Date
6/21/2012
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/21/2016
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Tracy Causey, CEO
(804) 253-1968
Contract Pharmacy Representative
Kroger
Mike Puccini, New Business Development Manager
(513) 762-4672
Signed By Date
6/15/2012
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