340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
KROGER SAV-ON PHARMACY J903
CH0530920 HEALTHLINC, INC.
Print
Covered Entity Details
Entity Name
HEALTHLINC, INC.
Subdivision Name
HealthLinc Valparaiso
Type
HRSA-Funded Health Center
340B ID
CH0530920
Entity Address
1001 Sturdy Rd
Valparaiso, IN 46383
Grant Number
H80CS06662
Participating Start Date
1/1/2004
Last Recertification Date
2/19/2025
Pharmacy Details
Pharmacy Name
KROGER SAV-ON PHARMACY J903
Pharmacy Address
1217 E IRELAND RD
SOUTH BEND, IN 46614
Pharmacy Comments
Contract Details
Approval Date
7/20/2020
Contract Begin Date
10/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
BETH WROBEL, CEO
(219) 465-9500
Contract Pharmacy Representative
Kroger
Anastasia Frey, Senior Manager, Payor Contracting
(513) 698-1875
Signed By Date
7/20/2020
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session