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KROGER PHARMACY #909
DSH360132 Kettering Health Hamilton
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Covered Entity Details
Entity Name
Kettering Health Hamilton
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH360132
Entity Address
630 Eaton Avenue
Hamilton, OH 45013
Medicare Provider Number
360132
Participating Start Date
1/1/2014
Last Recertification Date
8/20/2024
Pharmacy Details
Pharmacy Name
KROGER PHARMACY #909
Pharmacy Address
1474 MAIN STREET
HAMILTON, OH 45013
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
10/10/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
William E Villegas, Regional VP of Finance
(937) 723-3414
Contract Pharmacy Representative
Kroger
Anastasia Frey, Senior Manager, Payor Contracting
(513) 698-1875
Signed By Date
1/14/2020
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