340B Drug Pricing Program Database

Pharmacy Name

KROGER PHARMACY #582

Pharmacy Address

10300 RODNEY PARHAM ROAD
LITTLE ROCK, AR 72227

Pharmacy Comments

Approval Date

4/2/2015

Contract Begin Date

7/1/2015

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

MELISSA FONTAINE, Chief Operating Officer
(501) 686-8955

Contract Pharmacy Representative

Kroger
Mike Puccini, New Business Development Manager
(513) 762-4672

Signed By Date

4/2/2015