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KROGER LIMITED PARTNERSHIP I
CHC26567-00 MERIDIAN SERVICES CORP
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Covered Entity Details
Entity Name
MERIDIAN SERVICES CORP
Subdivision Name
Meridian Health Services
Type
HRSA-Funded Health Center
340B ID
CHC26567-00
Entity Address
240 N Tillotson Ave
Muncie, IN 47304-3988
Grant Number
H80CS26567
Participating Start Date
4/1/2016
Last Recertification Date
2/20/2025
Pharmacy Details
Pharmacy Name
KROGER LIMITED PARTNERSHIP I
Pharmacy Address
DBA PAYLESS PHARMACY J827
2513 MAPLE POINT DRIVE
LAFAYETTE, IN 47905
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
8/6/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Scott Riggs, Chief Financial Officer
(765) 254-5189
Contract Pharmacy Representative
340B Direct
Donna Gibbons, Client Account Manager
(801) 685-4126
Signed By Date
10/14/2022
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