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PAYLESS PHARMACY 848
CH0516760 Madison County Community Health Center, Incorporated
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Covered Entity Details
Entity Name
Madison County Community Health Center, Incorporated
Subdivision Name
MADISON COUNTY COMMUNITY HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH0516760
Entity Address
1547 Ohio Ave
Anderson, IN 46016-1917
Grant Number
H80CS00872
Participating Start Date
4/1/2004
Last Recertification Date
2/21/2019
Entity Termination Date
7/1/2019
Pharmacy Details
Pharmacy Name
PAYLESS PHARMACY 848
Pharmacy Address
KROGER LIMITED PARTNERSHIP I
3050 MERIDIAN ST
ANDERSON, IN 46016
Pharmacy Comments
Contract Details
Approval Date
2/11/2016
Contract Begin Date
4/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2019
Covered Entity Terminated
Contacts
Covered Entity Signing Official
ANTHONY J. MALONE, CEO
(765) 641-0255 Ext: 241
Contract Pharmacy Representative
Kroger
Mike Puccini, New Business Development Manager
(513) 762-4672
Signed By Date
2/11/2016
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