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KROGER PHARMACY #708
CAH511320-00 Community Health Association
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Covered Entity Details
Entity Name
Community Health Association
Subdivision Name
Jackson General Hospital
Type
Critical Access Hospital
340B ID
CAH511320-00
Entity Address
122 Pinnell Street
Ripley, WV 25271-9101
Medicare Provider Number
511320
Participating Start Date
4/1/2013
Last Recertification Date
8/13/2024
Pharmacy Details
Pharmacy Name
KROGER PHARMACY #708
Pharmacy Address
106 MCGRAW STREET
RIPLEY, WV 25271
Pharmacy Comments
Contract Details
Approval Date
4/17/2017
Contract Begin Date
7/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Stephanie L. McCoy, President/CEO
(304) 373-1475
Contract Pharmacy Representative
Kroger
Mike Puccini, New Business Development Manager
(513) 762-4672
Signed By Date
4/17/2017
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