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KROGER PHARMACY #640
CHC24172-01 CHRIST COMMUNITY HEALTH SERVICES AUGUSTA, INC.
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Covered Entity Details
Entity Name
CHRIST COMMUNITY HEALTH SERVICES AUGUSTA, INC.
Subdivision Name
Christ Community Health: Olde Town CHC
Type
HRSA-Funded Health Center
340B ID
CHC24172-01
Entity Address
127 Telfair Street
Augusta, GA 30901
Grant Number
H80CS24172
Participating Start Date
7/1/2013
Last Recertification Date
2/20/2025
Pharmacy Details
Pharmacy Name
KROGER PHARMACY #640
Pharmacy Address
1284 KNOX AVENUE
NORTH AUGUSTA, SC 29841
Pharmacy Comments
Contract Details
Approval Date
1/16/2024
Contract Begin Date
4/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Don Branum, CEO
(419) 341-0715
Contract Pharmacy Representative
Kroger
Anastasia Frey, Senior Manager, Payor Contracting
(513) 698-1875
Signed By Date
1/16/2024
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