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KROGER PHARMACY #014934
DSH360132 Kettering Health Hamilton
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Covered Entity Details
Entity Name
Kettering Health Hamilton
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH360132
Entity Address
630 Eaton Avenue
Hamilton, OH 45013
Medicare Provider Number
360132
Participating Start Date
1/1/2014
Last Recertification Date
8/20/2024
Pharmacy Details
Pharmacy Name
KROGER PHARMACY #014934
Pharmacy Address
1450 SOUTH ERIE HIGHWAY
HAMILTON, OH 45011
Pharmacy Comments
Contract Details
Approval Date
7/15/2020
Contract Begin Date
10/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/21/2021
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
William E Villegas, Regional VP of Finance
(937) 723-3414
Contract Pharmacy Representative
Kettering Health Network:Grandview/Kettering/Ft Hamilton/Sycamore/Soin
Linda McCall, Pharmacy Director
(937) 458-4946
Signed By Date
7/15/2020
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