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KROGER PHARMACY 946
RRC140135-00 Decatur Memorial Hospital
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Covered Entity Details
Entity Name
Decatur Memorial Hospital
Subdivision Name
Type
Rural Referral Center
340B ID
RRC140135-00
Entity Address
2300 N. Edward St.
Decatur, IL 62526
Medicare Provider Number
140135
Participating Start Date
7/1/2013
Last Recertification Date
8/22/2024
Pharmacy Details
Pharmacy Name
KROGER PHARMACY 946
Pharmacy Address
1818 AIRPORT PLZ
DECATUR, IL 62521-9717
Pharmacy Comments
Contract Details
Approval Date
1/8/2024
Contract Begin Date
4/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Drew Early, President CEO
(217) 876-2114
Contract Pharmacy Representative
Kroger Health
Eva Brumfield, Strategic Program Director
(651) 357-2109
Signed By Date
1/8/2024
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