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THE KROGER CO DBA KROGER SAV
CH05320AS Health Net, Inc.
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Covered Entity Details
Entity Name
Health Net, Inc.
Subdivision Name
Crawford Apartments Clinic
Type
HRSA-Funded Health Center
340B ID
CH05320AS
Entity Address
2440 South Henderson St, Rooms 122 and124
Bloomington, IN 47401-4620
Grant Number
H80CS00114
Participating Start Date
10/1/2024
Last Recertification Date
2/25/2025
Pharmacy Details
Pharmacy Name
THE KROGER CO DBA KROGER SAV
Pharmacy Address
#928
1175 COLLEGE MALL ROAD
BLOOMINGTON, IN 47401
Pharmacy Comments
Contract Details
Approval Date
9/11/2024
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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