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KROGER PHARMACY N-529
CH052270 Hopewell Health Centers, Inc.
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Covered Entity Details
Entity Name
Hopewell Health Centers, Inc.
Subdivision Name
Hopewell Health Centers - Chillicothe
Type
HRSA-Funded Health Center
340B ID
CH052270
Entity Address
1049 WESTERN AVENUE
CHILLICOTHE, OH 45601
Grant Number
H80CS00193
Participating Start Date
4/1/1996
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
KROGER PHARMACY N-529
Pharmacy Address
965 POPLAR STREET
NELSONVILLE, OH 45764
Pharmacy Comments
Contract Details
Approval Date
4/10/2012
Contract Begin Date
4/10/2012
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Mark Bridenbaugh, CEO
(740) 773-1006 Ext: 2004
Contract Pharmacy Representative
Kroger
Mike Puccini, New Business Development Manager
(513) 762-4672
Signed By Date
3/30/2012
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