340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
KROGER PHARMACY L-745
FQHCLA424 Monticello Medical Associates, Inc
Print
Covered Entity Details
Entity Name
Monticello Medical Associates, Inc
Subdivision Name
Monticello Medical Associates
Type
Health Center Program Look-Alike
340B ID
FQHCLA424
Entity Address
1 S Creek Dr Ste 102
Monticello, KY 42633-9472
Grant Number
LALCS40210
Participating Start Date
7/1/2021
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
KROGER PHARMACY L-745
Pharmacy Address
50 STONEGATE CENTER
SOMERSET, KY 42501
Pharmacy Comments
Contract Details
Approval Date
7/13/2021
Contract Begin Date
10/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
ROBERT PARMELEE, CEO
(606) 348-3365 Ext: 240
Contract Pharmacy Representative
Kroger Central Fill
Colleen Lindholz, Contact
(606) 678-4012
Signed By Date
7/13/2021
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