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KROGER PHARMACY #014335
CHC08753-15 BUTLER COUNTY COMMUNITY HEALTH CONSORTIUM
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Covered Entity Details
Entity Name
BUTLER COUNTY COMMUNITY HEALTH CONSORTIUM
Subdivision Name
Kramer Elementary School-Based Services
Type
HRSA-Funded Health Center
340B ID
CHC08753-15
Entity Address
400 W Sycamore St
Oxford, OH 45056-1168
Grant Number
H80CS08753
Participating Start Date
7/1/2024
Last Recertification Date
2/21/2025
Pharmacy Details
Pharmacy Name
KROGER PHARMACY #014335
Pharmacy Address
428 OXFORD STATE RD
MIDDLETOWN, OH 45044-7434
Pharmacy Comments
Contract Details
Approval Date
7/15/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Stephen Joseph Roller, President & CEO
(513) 454-1467
Contract Pharmacy Representative
Kroger Health
Eva Brumfield, Strategic Program Director
(651) 357-2109
Signed By Date
7/15/2024
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