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KROGER PHARMACY L-347
CH04814F HEALTHFIRST BLUEGRASS, INC.
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Covered Entity Details
Entity Name
HEALTHFIRST BLUEGRASS, INC.
Subdivision Name
HealthFirst Bluegrass Mobile 1 Dental Clinic
Type
HRSA-Funded Health Center
340B ID
CH04814F
Entity Address
496 Southland Drive
Lexington, KY 40503-1827
Grant Number
H80CS28202
Participating Start Date
1/1/2017
Last Recertification Date
3/6/2025
Pharmacy Details
Pharmacy Name
KROGER PHARMACY L-347
Pharmacy Address
4101 TATES CREEK CENTRE DRIVE
LEXINGTON, KY 40517
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
Wayne Linscott, CEO
(859) 270-0192
Contract Pharmacy Representative
Kroger Health
Eva Brumfield, Strategic Program Director
(651) 357-2109
Signed By Date
7/12/2024
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