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KROGER PHARMACY #514
CHC00018-03 DAILY PLANET INC
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Covered Entity Details
Entity Name
DAILY PLANET INC
Subdivision Name
HAMHDS Woodman Center
Type
HRSA-Funded Health Center
340B ID
CHC00018-03
Entity Address
10299 Woodman Road
Glen Allen, VA 23060-4419
Grant Number
H80CS00018
Participating Start Date
1/1/2018
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
KROGER PHARMACY #514
Pharmacy Address
7000 TIM PRICE WAY
NORTH CHESTERFIELD, VA 23225
Pharmacy Comments
Contract Details
Approval Date
7/15/2020
Contract Begin Date
10/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Helena Deligt, COO
(804) 783-2505 Ext: 226
Contract Pharmacy Representative
Kroger
Katie Elfers, 340B Pharmacy Administrator
(513) 762-4850
Signed By Date
7/15/2020
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