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KROGER PHARMACY #014445
CHC08753-00 BUTLER COUNTY COMMUNITY HEALTH CONSORTIUM, INC.
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Covered Entity Details
Entity Name
BUTLER COUNTY COMMUNITY HEALTH CONSORTIUM, INC.
Subdivision Name
Hamilton Community Health Center
Type
HRSA-Funded Health Center
340B ID
CHC08753-00
Entity Address
210 South Second Street
Hamilton, OH 45011
Grant Number
H80CS08753
Participating Start Date
4/1/2006
Last Recertification Date
2/21/2025
Pharmacy Details
Pharmacy Name
KROGER PHARMACY #014445
Pharmacy Address
4001 HAMILTON CLEVES RD
CLEVES, OH 45002
Pharmacy Comments
Contract Details
Approval Date
4/17/2020
Contract Begin Date
4/21/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2021
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
MARC BELLISARIO, CEO/EXECUTIVE DIRECTOR
(513) 454-1459
Contract Pharmacy Representative
Kroger
Anastasia Frey, Senior Manager, Payor Contracting
(513) 698-1875
Signed By Date
4/17/2020
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