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KROGER CO OF MICHIGAN #715
RRC230216-00 MCLAREN PORT HURON
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Covered Entity Details
Entity Name
MCLAREN PORT HURON
Subdivision Name
Type
Rural Referral Center
340B ID
RRC230216-00
Entity Address
1221 PINE GROVE AVENUE
PORT HURON, MI 48060
Medicare Provider Number
230216
Participating Start Date
12/7/2021
Last Recertification Date
8/26/2024
Pharmacy Details
Pharmacy Name
KROGER CO OF MICHIGAN #715
Pharmacy Address
1215 24TH STREET
PORT HURON, MI 48060
Pharmacy Comments
Contract Details
Approval Date
3/25/2022
Contract Begin Date
3/25/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/6/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Bridget Ann Sholtis, CFO
(810) 989-3749
Contract Pharmacy Representative
Kroger
Anastasia Frey, Senior Manager, Payor Contracting
(513) 698-1875
Signed By Date
3/25/2022
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