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KROGER LIMITED PARTNERSHIP I
DSH040118 NEA BAPTIST MEMORIAL HOSPITAL
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Covered Entity Details
Entity Name
NEA BAPTIST MEMORIAL HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH040118
Entity Address
4800 EAST JOHNSON AVENUE
JONESBORO, AR 72405
Medicare Provider Number
040118
Participating Start Date
4/28/2020
Last Recertification Date
8/26/2024
Pharmacy Details
Pharmacy Name
KROGER LIMITED PARTNERSHIP I
Pharmacy Address
DBA: KROGER PHARMACY
1725 S. CARAWAY RD
JONESBORO, AR 72401
Pharmacy Comments
Contract Details
Approval Date
4/19/2022
Contract Begin Date
7/1/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/7/2025
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Kimberly Young, Vice President-Finance Operations
(901) 227-4080
Contract Pharmacy Representative
Kroger
Katie Elfers, 340B Pharmacy Administrator
(513) 762-4850
Signed By Date
4/19/2022
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