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KROGER PHARMACY
DSH150097 MAJOR HOSPITAL
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Covered Entity Details
Entity Name
MAJOR HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH150097
Entity Address
2451 INTELLIPLEX DR
SHELBYVILLE, IN 46176
Medicare Provider Number
150097
Participating Start Date
7/1/2022
Last Recertification Date
8/20/2024
Pharmacy Details
Pharmacy Name
KROGER PHARMACY
Pharmacy Address
202 S MAIN STREET
RUSHVILLE, IN 46173
Pharmacy Comments
Contract Details
Approval Date
7/12/2022
Contract Begin Date
10/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Ralph N Mercuri, CFO
(317) 398-5254
Contract Pharmacy Representative
Kroger
Katie Elfers, 340B Pharmacy Administrator
(513) 762-4850
Signed By Date
7/12/2022
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