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KROGER PHARMACY
CH05320L HEALTHNET INC
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Covered Entity Details
Entity Name
HEALTHNET INC
Subdivision Name
GEORGE WASHINGTON COMMUNITY SCH
Type
HRSA-Funded Health Center
340B ID
CH05320L
Entity Address
2215 W Washington St
Indianapolis, IN 46222-4279
Grant Number
H80CS00114
Participating Start Date
10/1/2013
Last Recertification Date
2/3/2024
Entity Termination Date
1/1/2025
Pharmacy Details
Pharmacy Name
KROGER PHARMACY
Pharmacy Address
3361 KENTUCKY AVE
INDIANAPOLIS, IN 46221
Pharmacy Comments
Contract Details
Approval Date
10/13/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2025
Covered Entity Terminated
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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