340B Drug Pricing Program Database

Pharmacy Name

KROGER PHARMACY #769

Pharmacy Address

5 RIVERWALK MALL
SOUTH CHARLESTON, WV 25303

Pharmacy Comments

Approval Date

10/7/2014

Contract Begin Date

1/1/2015

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Dan Lauffer, Chief Operating Officer
(304) 766-3595

Contract Pharmacy Representative

Kroger
Mike Puccini, New Business Development Manager
(513) 762-4672

Signed By Date

10/7/2014