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KROGER PHARMACY
CH05847J COLUMBUS NEIGHBORHOOD HEALTH CENTER, INC.
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Covered Entity Details
Entity Name
COLUMBUS NEIGHBORHOOD HEALTH CENTER, INC.
Subdivision Name
PrimaryOne Health 1751 Alum Creek Drive
Type
HRSA-Funded Health Center
340B ID
CH05847J
Entity Address
1751 Alum Creek Dr.
Columbus, OH 43207-1708
Grant Number
H80CS00118
Participating Start Date
4/1/2013
Last Recertification Date
2/19/2025
Pharmacy Details
Pharmacy Name
KROGER PHARMACY
Pharmacy Address
6011 GROVEPORT ROAD
GROVEPORT, OH 43125
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
Charleta B. Tavares, CEO
(614) 859-1880
Contract Pharmacy Representative
The Kroger Company
Eva Brumfield, Sr. Strategic Program Director
(651) 357-2109
Signed By Date
7/15/2024
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