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KROGER PHARMACY #394
DSH190201 CHRISTUS Lake Area Hospital
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Covered Entity Details
Entity Name
CHRISTUS Lake Area Hospital
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH190201
Entity Address
4200 NELSON RD
LAKE CHARLES, LA 70605
Medicare Provider Number
190201
Participating Start Date
1/1/2018
Last Recertification Date
9/9/2024
Pharmacy Details
Pharmacy Name
KROGER PHARMACY #394
Pharmacy Address
2010 COUNTRY CLUB RD
LAKE CHARLES, LA 70605
Pharmacy Comments
Contract Details
Approval Date
10/14/2022
Contract Begin Date
1/1/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/24/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Paul Trevino, CEO, CHRISTUS Health Southeast Texas
(409) 899-7102
Contract Pharmacy Representative
Kroger Health
Eva Brumfield, Strategic Program Director
(651) 357-2109
Signed By Date
10/14/2022
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