340B Drug Pricing Program Database

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Effective Sunday, September 1, OPA is implementing a change to the export format for Medicaid and NPI numbers. This change affects covered entity exports that include Medicaid and/or NPI billing numbers, and the CE Daily Report in Excel format. If the number is associated with more than one state, all the states will be listed between one set of parentheses following the number - for example, 1275575227 (IN,MI,OH). This change is necessary to ensure that the exported data does not exceed Excel’s limit for field length.

KROGER SPECIALTY INFUSION CA
DSH030024 ST JOSEPH'S HOSPITAL AND MEDICAL CENTER

Covered Entity Details

Disproportionate Share Hospital
DSH030024
350 W THOMAS ROAD
PHOENIX, AZ 85013
030024
1/1/2005
8/18/2024


Pharmacy Details

19110 VAN NESS AVE.
TORRANCE, CA 90501

Contract Details

7/17/2019
10/1/2019

2/26/2021
Business decision by covered entity and/or pharmacy


Contacts


Jeffrey Jackson, Chief Financial Officer
(602) 406-4618



Kroger
Anastasia Frey, Senior Manager, Payor Contracting
(513) 698-1875
7/17/2019