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KROGER PHARMACY
CH05320AP Health Net, Inc.
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Covered Entity Details
Entity Name
Health Net, Inc.
Subdivision Name
Outreach, Inc. Clinic
Type
HRSA-Funded Health Center
340B ID
CH05320AP
Entity Address
2416 E New York St
Indianapolis, IN 46201-3232
Grant Number
H80CS00114
Participating Start Date
10/1/2024
Last Recertification Date
2/25/2025
Pharmacy Details
Pharmacy Name
KROGER PHARMACY
Pharmacy Address
3361 KENTUCKY AVE
INDIANAPOLIS, IN 46221
Pharmacy Comments
Contract Details
Approval Date
9/4/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Varon Edward Cantrell, Chief Medical Officer
(317) 957-2015
Contract Pharmacy Representative
Kroger
Anastasia Frey, Senior Manager, Payor Contracting
(513) 698-1875
Signed By Date
9/4/2024
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