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Kroger Pharmacy
CAH181310-00 CARROLL COUNTY MEMORIAL HOSPITAL
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Covered Entity Details
Entity Name
CARROLL COUNTY MEMORIAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH181310-00
Entity Address
309 11TH STREET
CARROLLTON, KY 41008
Medicare Provider Number
181310
Participating Start Date
10/1/2011
Last Recertification Date
8/14/2024
Pharmacy Details
Pharmacy Name
Kroger Pharmacy
Pharmacy Address
Jeffersonville Central Fill Facility
301 Logistics Ave
Suite 200
Jeffersonville, IN 47130
Pharmacy Comments
Contract Details
Approval Date
10/20/2022
Contract Begin Date
1/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Kimberly Haverly, CEO
(502) 732-3275
Contract Pharmacy Representative
Carroll County Memorial Hospital
Herbert Alfred Hunter, Director of Pharmacy
(502) 732-3207
Signed By Date
10/20/2022
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