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KROGER SAV-ON PHARMACY
CHC10584-00 CENTER STREET COMMUNITY C
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Covered Entity Details
Entity Name
CENTER STREET COMMUNITY C
Subdivision Name
Center Street Community Health Center
Type
HRSA-Funded Health Center
340B ID
CHC10584-00
Entity Address
136 W Center St
Marion, OH 43302-3704
Grant Number
H80CS10584
Participating Start Date
7/1/2009
Last Recertification Date
2/28/2025
Pharmacy Details
Pharmacy Name
KROGER SAV-ON PHARMACY
Pharmacy Address
1428 MARION WALDO ROAD
MARION, OH 43302
Pharmacy Comments
Contract Details
Approval Date
12/8/2011
Contract Begin Date
12/13/2011
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
David McCartney, CFO
(740) 751-6618
Contract Pharmacy Representative
Kroger
Mike Puccini, New Business Development Manager
(513) 762-4672
Signed By Date
12/6/2011
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