340B Drug Pricing Program Database

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Effective Sunday, September 1, OPA is implementing a change to the export format for Medicaid and NPI numbers. This change affects covered entity exports that include Medicaid and/or NPI billing numbers, and the CE Daily Report in Excel format. If the number is associated with more than one state, all the states will be listed between one set of parentheses following the number - for example, 1275575227 (IN,MI,OH). This change is necessary to ensure that the exported data does not exceed Excel’s limit for field length.

KROGER SPECIALTY PHARMACY CA
CH091000 NORTHEAST VALLEY HEALTH CORPORATION

Covered Entity Details

NORTHEAST VALLEY HEALTH CORPORATION
HRSA-Funded Health Center
CH091000
1172 N Maclay Ave
San Fernando, CA 91340-1328
H80CS00139
4/1/1995
1/30/2024


Pharmacy Details

7373 LINCOLN WAY
GARDEN GROVE, CA 92841
09/10/2014

Contract Details

1/15/2020
4/1/2020

1/1/2021
Business decision by covered entity and/or pharmacy


Contacts


Kimberly Wyard, Chief Executive Officer
(818) 898-1388 Ext: 41620



Kroger
Anastasia Frey, Senior Manager, Payor Contracting
(513) 698-1875
1/15/2020