340B Drug Pricing Program Database

Pharmacy Name

SMITHS FOOD AND DRUG CENTERS INC.

Pharmacy Address

DBA:FRY'S FOOD STORES OF AZ #689
12100 N THORNYDALE RD
MARANA, AZ 85653

Pharmacy Comments

Approval Date

4/13/2020

Contract Begin Date

7/1/2020

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Tamie Olson, Chief Financial Officer
(520) 682-4111 Ext: 6221

Contract Pharmacy Representative

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

Signed By Date

4/13/2020