340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
KROGER PHARMACY #014-406
CAH151329-00 MARGARET MARY COMMUNITY HOSPITAL, INC.
Print
Covered Entity Details
Entity Name
MARGARET MARY COMMUNITY HOSPITAL, INC.
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH151329-00
Entity Address
321 MITCHELL AVE
BATESVILLE, IN 47006-0226
Medicare Provider Number
151329
Participating Start Date
9/28/2010
Last Recertification Date
8/27/2024
Pharmacy Details
Pharmacy Name
KROGER PHARMACY #014-406
Pharmacy Address
1034 STATE RD 229 NORTH
BATESVILLE, IN 47006
Pharmacy Comments
Contract Details
Approval Date
7/20/2016
Contract Begin Date
10/1/2016
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
BRIAN DAEGER, CFO
(812) 933-5135
Contract Pharmacy Representative
Kroger
Anastasia Frey, Senior Manager, Payor Contracting
(513) 698-1875
Signed By Date
7/20/2016
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session