340B Drug Pricing Program Database

Pharmacy Name

KROGER SPECIALTY PHARMACY INC

Pharmacy Address

KROGER SPECIALTY PHARMACY CA 3
1821 KAISER AVE
IRVINE, CA 92614-5707

Pharmacy Comments

Approval Date

1/11/2019

Contract Begin Date

4/1/2019

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

9/13/2019
Business decision by covered entity and/or pharmacy

Covered Entity Signing Official

James McManus, Chief Financial Officer
(415) 925-2095

Contract Pharmacy Representative

Marin General Hospital
Therese Helser, Director, Pharmacy
(415) 925-7867

Signed By Date

1/11/2019