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KROGER PHARMACY #014445
CHC25682-02 CHRISTIAN COMMUNITY HEALTH SERVICES
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Covered Entity Details
Entity Name
CHRISTIAN COMMUNITY HEALTH SERVICES
Subdivision Name
Rothenberg Preparatory Academy School-Based Health Center
Type
HRSA-Funded Health Center
340B ID
CHC25682-02
Entity Address
241 E CLIFTON AVE
CINCINNATI, OH 45202-8905
Grant Number
H80CS25682
Participating Start Date
4/1/2015
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
KROGER PHARMACY #014445
Pharmacy Address
4001 HAMILTON CLEVES RD
CLEVES, OH 45002
Pharmacy Comments
Contract Details
Approval Date
10/16/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
James Joseph Berrens, CEO
(513) 707-5755
Contract Pharmacy Representative
Kroger
Anastasia Frey, Senior Manager, Payor Contracting
(513) 698-1875
Signed By Date
10/16/2023
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