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KROGER PHARMACY #66
CH05320AQ Health Net, Inc.
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Covered Entity Details
Entity Name
Health Net, Inc.
Subdivision Name
HealthNet Healthy Families
Type
HRSA-Funded Health Center
340B ID
CH05320AQ
Entity Address
6029 W 10th St
Indianapolis, IN 46224-6115
Grant Number
H80CS00114
Participating Start Date
10/1/2024
Last Recertification Date
2/25/2025
Pharmacy Details
Pharmacy Name
KROGER PHARMACY #66
Pharmacy Address
5173 W WASHINGTON STREET
INDIANAPOLIS, IN 46241
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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