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KROGER PHARMACY
DSH180040 UofL Health -- Louisville
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Covered Entity Details
Entity Name
UofL Health -- Louisville
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH180040
Entity Address
200 ABRAHAM FLEXNER WAY
LOUISVILLE, KY 40202-1818
Medicare Provider Number
180040
Participating Start Date
12/6/2005
Last Recertification Date
8/31/2024
Pharmacy Details
Pharmacy Name
KROGER PHARMACY
Pharmacy Address
12501 SHELBYVILLE ROAD
LOUISVILLE, KY 40243
Pharmacy Comments
Contract Details
Approval Date
12/4/2012
Contract Begin Date
12/4/2012
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/19/2017
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Mark Milburn, VP
(502) 561-3900
Contract Pharmacy Representative
Kroger
Mike Puccini, New Business Development Manager
(513) 762-4672
Signed By Date
10/15/2012
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