340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
KROGER PHARMACY #743
CH030990 MONROE CO. HEALTH CENTER
Print
Covered Entity Details
Entity Name
MONROE CO. HEALTH CENTER
Subdivision Name
Type
HRSA-Funded Health Center
340B ID
CH030990
Entity Address
200 HEALTH CENTER DRIVE
UNION, WV 24983
Grant Number
H80CS00384
Participating Start Date
4/1/2004
Last Recertification Date
2/19/2025
Pharmacy Details
Pharmacy Name
KROGER PHARMACY #743
Pharmacy Address
308 STOKES DRIVE
HINTON, WV 25951
Pharmacy Comments
Contract Details
Approval Date
1/11/2021
Contract Begin Date
4/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jim Nelson, CEO
(304) 772-3064 Ext: 129
Contract Pharmacy Representative
Kroger
Anastasia Frey, Senior Manager, Payor Contracting
(513) 698-1875
Signed By Date
1/11/2021
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