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THE KROGER CO., KS 113
CH0712470 SALINA HEALTH EDUCATION FOUNDATION
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Covered Entity Details
Entity Name
SALINA HEALTH EDUCATION FOUNDATION
Subdivision Name
SALINA FAMILY HEALTHCARE CENTER
Type
HRSA-Funded Health Center
340B ID
CH0712470
Entity Address
651 E. PRESCOTT
SALINA, KS 67401
Grant Number
H80CS04216
Participating Start Date
9/9/2005
Last Recertification Date
2/17/2025
Pharmacy Details
Pharmacy Name
THE KROGER CO., KS 113
Pharmacy Address
1220 S. LIPAN STREET
DENVER, CO 80223
Pharmacy Comments
Contract Details
Approval Date
4/5/2017
Contract Begin Date
7/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/23/2021
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Deborah K. Demel, CFO
(785) 825-7251 Ext: 319
Contract Pharmacy Representative
Kroger
Mike Puccini, New Business Development Manager
(513) 762-4672
Signed By Date
4/5/2017
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