340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
KROGER PHARMACY #409
CAH181329-00 SAINT JOSEPH BEREA HOSPITAL
Print
Covered Entity Details
Entity Name
SAINT JOSEPH BEREA HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH181329-00
Entity Address
305 ESTILL STREET
BEREA, KY 40403
Medicare Provider Number
181329
Participating Start Date
9/30/2010
Last Recertification Date
8/20/2024
Pharmacy Details
Pharmacy Name
KROGER PHARMACY #409
Pharmacy Address
1732 WEST HWY 192
LONDON, KY 40741
Pharmacy Comments
Contract Details
Approval Date
7/15/2019
Contract Begin Date
10/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/8/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Sandra Rose, Vice President of Operations
(859) 986-6559
Contract Pharmacy Representative
Kroger
Anastasia Frey, Senior Manager, Payor Contracting
(513) 698-1875
Signed By Date
7/15/2019
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