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KROGER PHARMACY L - 594
CAH441309-00 MARSHALL MEDICAL CENTER
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Covered Entity Details
Entity Name
MARSHALL MEDICAL CENTER
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH441309-00
Entity Address
1080 NORTH ELLINGTON PKWY
LEWISBURG, TN 37091
Medicare Provider Number
441309
Participating Start Date
9/21/2010
Last Recertification Date
8/14/2024
Pharmacy Details
Pharmacy Name
KROGER PHARMACY L - 594
Pharmacy Address
4900 PORT ROYAL ROAD
SPRINGHILL, TN 37174
Pharmacy Comments
Contract Details
Approval Date
10/21/2020
Contract Begin Date
11/27/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
PHYLLIS BROWN, CHIEF EXECUTIVE OFFICER
(931) 359-6241 Ext: 3306
Contract Pharmacy Representative
Kroger
Anastasia Frey, Senior Manager, Payor Contracting
(513) 698-1875
Signed By Date
10/21/2020
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