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KROGER SAV-ON PHARMACY N-832
CHC26575-03 COMMUNITY HEALTH & WELLNESS PARTNERS OF LOGAN COUNTY
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Covered Entity Details
Entity Name
COMMUNITY HEALTH & WELLNESS PARTNERS OF LOGAN COUNTY
Subdivision Name
WL Salem Health Center
Type
HRSA-Funded Health Center
340B ID
CHC26575-03
Entity Address
7208 US Highway 68 N Ste 2
West Liberty, OH 43357-9663
Grant Number
H80CS26575
Participating Start Date
4/1/2021
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
KROGER SAV-ON PHARMACY N-832
Pharmacy Address
2129 SOUTH MAIN STREET
BELLEFONTAINE, OH 43311
Pharmacy Comments
Contract Details
Approval Date
10/14/2024
Contract Begin Date
1/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Tara Bair, President/CEO
(937) 599-1411 Ext: 250
Contract Pharmacy Representative
Kroger
Anastasia Frey, Finance Manager
(513) 762-4000
Signed By Date
10/14/2024
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