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KROGER PHARMACY #014817
CH05099AA HEALTHSOURCE OF OHIO, INC.
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Covered Entity Details
Entity Name
HEALTHSOURCE OF OHIO, INC.
Subdivision Name
HealthSource Lebanon
Type
HRSA-Funded Health Center
340B ID
CH05099AA
Entity Address
1231 Columbus Ave UNIT A1
Lebanon, OH 45036-8196
Grant Number
H80CS00201
Participating Start Date
1/1/2015
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
KROGER PHARMACY #014817
Pharmacy Address
1230 ROMBACH AVENUE
WILMINGTON, OH 45177
Pharmacy Comments
Contract Details
Approval Date
7/9/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Lisa Jackson, VP of Marketing and Development
(513) 576-7700
Contract Pharmacy Representative
Kroger Health
Eva Brumfield, Strategic Program Director
(651) 357-2109
Signed By Date
7/9/2024
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