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Kroger Pharmacy
CHC24149-00 MERCY HEALTH SERVICES, INC.
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Covered Entity Details
Entity Name
MERCY HEALTH SERVICES, INC.
Subdivision Name
Mercy Health Services
Type
HRSA-Funded Health Center
340B ID
CHC24149-00
Entity Address
143 SE Parkway Ct
Franklin, TN 37064
Grant Number
H80CS24149
Participating Start Date
1/1/2013
Last Recertification Date
2/21/2025
Pharmacy Details
Pharmacy Name
Kroger Pharmacy
Pharmacy Address
Jeffersonville Central Fill Facility
301 Logistics Ave
Suite 200
Jeffersonville, IN 47130
Pharmacy Comments
Contract Details
Approval Date
2/3/2025
Contract Begin Date
2/3/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Rhonda Sizemore, CFO
(615) 790-0567 Ext: 206
Contract Pharmacy Representative
Kroger
Anastasia Frey, Finance Manager
(513) 762-4000
Signed By Date
2/3/2025
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