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THE KROGER CO., KS 113
CH11355-00 FIRST CARE CLINIC, INC.
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Covered Entity Details
Entity Name
FIRST CARE CLINIC, INC.
Subdivision Name
First Care Clinic, Inc.
Type
HRSA-Funded Health Center
340B ID
CH11355-00
Entity Address
105 W. 13th Street
Hays, KS 67601
Grant Number
H80CS12891
Participating Start Date
10/1/2016
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
THE KROGER CO., KS 113
Pharmacy Address
1220 S. LIPAN STREET
DENVER, CO 80223
Pharmacy Comments
Contract Details
Approval Date
10/3/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
8/15/2021
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Bryan Brady, CEO
(785) 621-4990
Contract Pharmacy Representative
Kroger
Anastasia Frey, Senior Manager, Payor Contracting
(513) 698-1875
Signed By Date
10/3/2019
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