340B Drug Pricing Program Database

Pharmacy Name

HARRIS TEETER PHARMACY #0173

Pharmacy Address

1589 SKEET CLUB RD, SUITE 140
SUITE 140
HIGH POINT, NC 27265

Pharmacy Comments

Approval Date

2/12/2021

Contract Begin Date

3/15/2022

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

9/6/2023
Business decision by covered entity and/or pharmacy

Covered Entity Signing Official

Kevin Edwin Smith, Vice President, Chief Operating Officer
(336) 781-2181

Contract Pharmacy Representative

Kroger
Anastasia Frey, Senior Manager, Payor Contracting
(513) 698-1875

Signed By Date

1/15/2021