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KROGER PHARMACY #66
CH05320AB HealthNet, Inc.
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Covered Entity Details
Entity Name
HealthNet, Inc.
Subdivision Name
Vision Academy at Riverside School-Based Health Center
Type
HRSA-Funded Health Center
340B ID
CH05320AB
Entity Address
1751 E Riverside Dr
Indianapolis, IN 46202-2010
Grant Number
H80CS00114
Participating Start Date
1/1/2016
Last Recertification Date
2/3/2024
Entity Termination Date
1/1/2025
Pharmacy Details
Pharmacy Name
KROGER PHARMACY #66
Pharmacy Address
5173 W WASHINGTON STREET
INDIANAPOLIS, IN 46241
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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