340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
KROGER PHARMACY
RRC010039-00 HUNTSVILLE HOSPITAL
Print
Covered Entity Details
Entity Name
HUNTSVILLE HOSPITAL
Subdivision Name
Type
Rural Referral Center
340B ID
RRC010039-00
Entity Address
101 SIVLEY ROAD SW
HUNTSVILLE, AL 35801
Medicare Provider Number
010039
Participating Start Date
12/1/2020
Last Recertification Date
8/23/2024
Pharmacy Details
Pharmacy Name
KROGER PHARMACY
Pharmacy Address
#854
1101 BELTLINE RD
DECATUR, AL 35601
Pharmacy Comments
Contract Details
Approval Date
1/6/2022
Contract Begin Date
1/18/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/2/2025
Pharmacy closed
Contacts
Covered Entity Signing Official
Clinton Carter, CFO
(256) 265-8818
Contract Pharmacy Representative
Kroger
Anastasia Frey, Senior Manager, Payor Contracting
(513) 698-1875
Signed By Date
1/6/2022
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