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KROGER PHARMACY #16664
CHC29020-00 COMPASS COMMUNITY HEALTH
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Covered Entity Details
Entity Name
COMPASS COMMUNITY HEALTH
Subdivision Name
Compass Community Health
Type
HRSA-Funded Health Center
340B ID
CHC29020-00
Entity Address
1634 11th Street
Portsmouth, OH 45662-4526
Grant Number
H80CS29020
Participating Start Date
1/1/2016
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
KROGER PHARMACY #16664
Pharmacy Address
9101 OHIO RIVER ROAD
WHEELERSBURG, OH 45694
Pharmacy Comments
Contract Details
Approval Date
1/15/2016
Contract Begin Date
4/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
5/18/2016
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Sondra Hash, VP Operations
(740) 355-7102 Ext: 1513
Contract Pharmacy Representative
Kroger
Mike Puccini, New Business Development Manager
(513) 762-4672
Signed By Date
1/15/2016
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