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KROGER PHARMACY 014-730
CHC12892-00 ROCKING HORSE CENTER
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Covered Entity Details
Entity Name
ROCKING HORSE CENTER
Subdivision Name
Type
HRSA-Funded Health Center
340B ID
CHC12892-00
Entity Address
651 SOUTH LIMESTONE STREET
SPRINGFIELD, OH 45505
Grant Number
H80CS12892
Participating Start Date
7/1/2009
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
KROGER PHARMACY 014-730
Pharmacy Address
2300 NORTH LIMESTONE STREET
SPRINGFIELD, OH 45503
Pharmacy Comments
Contract Details
Approval Date
7/15/2013
Contract Begin Date
10/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/9/2019
Pharmacy closed
Contacts
Covered Entity Signing Official
DANA E. ENGLE, CEO
(937) 324-1111 Ext: 190
Contract Pharmacy Representative
Kroger
Mike Puccini, New Business Development Manager
(513) 762-4672
Signed By Date
7/15/2013
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