340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
KROGER #992
FQHCLA361B Adult And Child Health Inc
Print
Covered Entity Details
Entity Name
Adult And Child Health Inc
Subdivision Name
Adult and Child Health - Greenwood
Type
Health Center Program Look-Alike
340B ID
FQHCLA361B
Entity Address
8320 Madison Ave
Indianapolis, IN 46227-6066
Grant Number
LALCS31537
Participating Start Date
1/1/2019
Last Recertification Date
2/24/2025
Pharmacy Details
Pharmacy Name
KROGER #992
Pharmacy Address
5911 SOUTH MADISON AVENUE
INDIANAPOLIS, IN 46227
Pharmacy Comments
Contract Details
Approval Date
1/10/2019
Contract Begin Date
4/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Dan Arens, Chief Operating Officer
(317) 893-0336
Contract Pharmacy Representative
Adult and Child Health
Dan Arens, Chief Operating Officer
(317) 893-0336
Signed By Date
1/10/2019
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session