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KROGER PHARMACY #838
DSH360360 SOIN MEDICAL CENTER
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Covered Entity Details
Entity Name
SOIN MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH360360
Entity Address
3535 PENTAGON PARK BOULEVARD
BEAVERCREEK, OH 45431
Medicare Provider Number
360360
Participating Start Date
10/1/2019
Last Recertification Date
9/7/2020
Entity Termination Date
4/1/2021
Pharmacy Details
Pharmacy Name
KROGER PHARMACY #838
Pharmacy Address
1161 EAST DAYTON-YELLOWSPRINGS
ROAD
FAIRBORN, OH 45324
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
4/1/2021
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Wendi Barber, Chief Financial Officer
(937) 395-8520
Contract Pharmacy Representative
Kroger
Anastasia Frey, Senior Manager, Payor Contracting
(513) 698-1875
Signed By Date
1/14/2020
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