340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
KROGER PHARMACY L-592
CHC24149-00 MERCY HEALTH SERVICES, INC.
Print
Covered Entity Details
Entity Name
MERCY HEALTH SERVICES, INC.
Subdivision Name
Mercy Health Services
Type
HRSA-Funded Health Center
340B ID
CHC24149-00
Entity Address
143 SE Parkway Ct
Franklin, TN 37064
Grant Number
H80CS24149
Participating Start Date
1/1/2013
Last Recertification Date
2/21/2025
Pharmacy Details
Pharmacy Name
KROGER PHARMACY L-592
Pharmacy Address
1203 MURFREESBORO ROAD
FRANKLIN, TN 37064
Pharmacy Comments
Contract Details
Approval Date
1/15/2020
Contract Begin Date
4/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/31/2021
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Cindy J. Siler, CEO
(615) 790-0567 Ext: 200
Contract Pharmacy Representative
Kroger
Anastasia Frey, Senior Manager, Payor Contracting
(513) 698-1875
Signed By Date
1/15/2020
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session