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THE KROGER CO
RRC360079-00 Kettering Health Main Campus
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Covered Entity Details
Entity Name
Kettering Health Main Campus
Subdivision Name
Type
Rural Referral Center
340B ID
RRC360079-00
Entity Address
3535 SOUTHERN BOULEVARD
KETTERING, OH 45429
Medicare Provider Number
360079
Participating Start Date
7/1/2019
Last Recertification Date
8/14/2024
Pharmacy Details
Pharmacy Name
THE KROGER CO
Pharmacy Address
KROGER PHARMACY #01400951
2921 W ALEX BELL RD
DAYTON, OH 45459
Pharmacy Comments
Contract Details
Approval Date
1/14/2020
Contract Begin Date
4/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/9/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Brent Davis, CFO
(937) 395-8688
Contract Pharmacy Representative
Kroger
Anastasia Frey, Senior Manager, Payor Contracting
(513) 698-1875
Signed By Date
1/14/2020
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