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KROGER PHARMACY
CAH361331-00 Adena Fayette Medical Center
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Covered Entity Details
Entity Name
Adena Fayette Medical Center
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH361331-00
Entity Address
1430 COLUMBUS AVE.
WASHINGTON COURT HOUSE, OH 43160
Medicare Provider Number
361331
Participating Start Date
8/9/2010
Last Recertification Date
8/21/2024
Pharmacy Details
Pharmacy Name
KROGER PHARMACY
Pharmacy Address
548 CLINTON AVENUE
WASHINGTON CH, OH 43160
Pharmacy Comments
Contract Details
Approval Date
10/20/2011
Contract Begin Date
9/12/2011
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Lyndon J. Christman, President & CEO
(740) 333-2706
Contract Pharmacy Representative
Kroger
Anastasia Frey, Senior Manager, Payor Contracting
(513) 698-1875
Signed By Date
8/25/2011
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