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Kroger Pharmacy
CAH181307-00 APPALACHIAN REGIONAL HEALTHCARE INC. D/B/A MORGAN CO. ARH HOSPITAL
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Covered Entity Details
Entity Name
APPALACHIAN REGIONAL HEALTHCARE INC. D/B/A MORGAN CO. ARH HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH181307-00
Entity Address
476 LIBERTY ROAD
WEST LIBERTY, KY 41472
Medicare Provider Number
181307
Participating Start Date
9/8/2010
Last Recertification Date
9/6/2024
Pharmacy Details
Pharmacy Name
Kroger Pharmacy
Pharmacy Address
Jeffersonville Central Fill Facility
301 Logistics Ave
Suite 200
Jeffersonville, IN 47130
Pharmacy Comments
Contract Details
Approval Date
4/15/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Maria Braman, Chief Medical Officer
(406) 465-8506
Contract Pharmacy Representative
Kroger Health
Eva Brumfield, Strategic Program Director
(651) 357-2109
Signed By Date
4/15/2024
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