340B Drug Pricing Program Database

Pharmacy Name

RALPHS GROCERY CO

Pharmacy Address

DBA RALPHS #611
425 S SUNRISE WAY STE A
PALM SPRINGS, CA 92262

Pharmacy Comments

Approval Date

4/7/2020

Contract Begin Date

7/1/2020

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

David Brinkman, Chief Executive Officer
(760) 992-0418

Contract Pharmacy Representative

Kroger
Anastasia Frey, Senior Manager, Payor Contracting
(513) 698-1875

Signed By Date

4/7/2020