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KROGER PHARMACY #780
CH030790 COMMUNITY HEALTH SYSTEMS, INC.
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Covered Entity Details
Entity Name
COMMUNITY HEALTH SYSTEMS, INC.
Subdivision Name
AccessHealth Rural Acres Clinic
Type
HRSA-Funded Health Center
340B ID
CH030790
Entity Address
252 Rural Acres Drive
Beckley, WV 25801-3503
Grant Number
H80CS00345
Participating Start Date
7/1/2000
Last Recertification Date
2/23/2025
Pharmacy Details
Pharmacy Name
KROGER PHARMACY #780
Pharmacy Address
411 MALL RD.
OAK HILL, WV 25901-6115
Pharmacy Comments
Contract Details
Approval Date
1/2/2019
Contract Begin Date
4/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
CHARLES HUNT, CEO
(304) 252-8551 Ext: 1164
Contract Pharmacy Representative
Kroger
Anastasia Frey, Senior Manager, Payor Contracting
(513) 698-1875
Signed By Date
1/2/2019
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