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KROGER PHARMACY #014754
RRC360079-00 Kettering Health Main Campus
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Covered Entity Details
Entity Name
Kettering Health Main Campus
Subdivision Name
Type
Rural Referral Center
340B ID
RRC360079-00
Entity Address
3535 SOUTHERN BOULEVARD
KETTERING, OH 45429
Medicare Provider Number
360079
Participating Start Date
7/1/2019
Last Recertification Date
8/14/2024
Pharmacy Details
Pharmacy Name
KROGER PHARMACY #014754
Pharmacy Address
4506 BRANDT PIKE
DAYTON, OH 45424
Pharmacy Comments
Contract Details
Approval Date
4/12/2021
Contract Begin Date
7/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/21/2021
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Wendi Barber, Chief Financial Officer
(937) 395-8520
Contract Pharmacy Representative
Kroger
Anastasia Frey, Senior Manager, Payor Contracting
(513) 698-1875
Signed By Date
4/12/2021
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