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KROGER PHARMACY 014920
CH05099AC HEALTHSOURCE OF OHIO, INC.
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Covered Entity Details
Entity Name
HEALTHSOURCE OF OHIO, INC.
Subdivision Name
HealthSource Western Brown
Type
HRSA-Funded Health Center
340B ID
CH05099AC
Entity Address
474 W Main St
Mount Orab, OH 45154-9452
Grant Number
H80CS00201
Participating Start Date
10/1/2017
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
KROGER PHARMACY 014920
Pharmacy Address
210 STERLING RUN BLVD.
MT. ORAB, OH 45154
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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