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 INC.
CAH051318-00 St Joseph Health Northern California LLC- DBA Redwood Memorial Hospital

Covered Entity Details

Critical Access Hospital
CAH051318-00
3300 Renner Drive
Fortuna, CA 95540
051318
4/1/2012
8/13/2024


Pharmacy Details

3200 LAKE EMMA RD UNIT 1000
LAKE MARY, FL 32746-3358

Contract Details

4/16/2020
7/1/2020

11/15/2020
Business decision by covered entity and/or pharmacy


Contacts


Kevin Klockenga, CEO
(707) 522-1520



Kroger
Anastasia Frey, Senior Manager, Payor Contracting
(513) 698-1875
4/16/2020