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KROGER PHARMACY J927
CH05320U HealthNet, Inc.
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Covered Entity Details
Entity Name
HealthNet, Inc.
Subdivision Name
Salvation Army Harbor Light Center Clinic
Type
HRSA-Funded Health Center
340B ID
CH05320U
Entity Address
2400 N Tibbs Ave
Indianapolis, IN 46222-2458
Grant Number
H80CS00114
Participating Start Date
4/1/2014
Last Recertification Date
2/25/2025
Pharmacy Details
Pharmacy Name
KROGER PHARMACY J927
Pharmacy Address
4202 S. EAST ST
INDIANAPOLIS, IN 46227
Pharmacy Comments
Contract Details
Approval Date
10/13/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Varon Edward Cantrell, Chief Medical Officer
(317) 957-2015
Contract Pharmacy Representative
Kroger
Anastasia Frey, Senior Manager, Payor Contracting
(513) 698-1875
Signed By Date
10/13/2023
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