340B Drug Pricing Program Database

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Effective Sunday, September 1, OPA is implementing a change to the export format for Medicaid and NPI numbers. This change affects covered entity exports that include Medicaid and/or NPI billing numbers, and the CE Daily Report in Excel format. If the number is associated with more than one state, all the states will be listed between one set of parentheses following the number - for example, 1275575227 (IN,MI,OH). This change is necessary to ensure that the exported data does not exceed Excel’s limit for field length.

KROGER SPECIALTY PHARMACY CA
CH080030 VALLEY-WIDE HEALTH SYSTEMS, INC.

Covered Entity Details

Alamosa Family Medical Center, Valley Wide Pharmacy, or Anti-Coagulation Clinic
HRSA-Funded Health Center
CH080030
1710 1st St
Alamosa, CO 81101
H80CS00134
12/1/1992
2/3/2024


Pharmacy Details

7373 LINCOLN WAY
GARDEN GROVE, CA 92841
09/10/2014

Contract Details

4/12/2023
7/1/2023

4/13/2024
Business decision by covered entity and/or pharmacy


Contacts


Jania Arnoldi, President/CEO
(719) 587-1000



Kroger Health
Eva Brumfield, Strategic Program Director
(651) 357-2109
4/12/2023