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KROGER PHARMACY #765
CHC11332-01 COMMUNITY HEALTH CENTERS OF GREATER DAYTON
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Covered Entity Details
Entity Name
COMMUNITY HEALTH CENTERS OF GREATER DAYTON
Subdivision Name
CORWIN NIXON HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CHC11332-01
Entity Address
2351 STANLEY AVENUE
DAYTON, OH 45404
Grant Number
H80CS12882
Participating Start Date
10/1/2009
Last Recertification Date
2/19/2025
Pharmacy Details
Pharmacy Name
KROGER PHARMACY #765
Pharmacy Address
601 WOODMAN DR
DAYTON, OH 45431
Pharmacy Comments
Contract Details
Approval Date
7/12/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
GREGORY HOPKINS, EXECUTIVE DIRECTOR
(937) 586-9733 Ext: 1023
Contract Pharmacy Representative
Kroger
Anastasia Frey, Finance Manager
(513) 762-4000
Signed By Date
7/12/2024
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