340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
KROGER DRUGSTORE
CH045211E FIRST CHOICE PRIMARY CARE, INC.
Print
Covered Entity Details
Entity Name
FIRST CHOICE PRIMARY CARE, INC.
Subdivision Name
Daybreak Center Suite A
Type
HRSA-Funded Health Center
340B ID
CH045211E
Entity Address
174 Walnut Street
Macon, GA 31201-3440
Grant Number
H80CS08242
Participating Start Date
10/1/2016
Last Recertification Date
2/17/2025
Pharmacy Details
Pharmacy Name
KROGER DRUGSTORE
Pharmacy Address
#410
400 PIO NONO AVENUE
MACON, GA 31204
Pharmacy Comments
Contract Details
Approval Date
7/14/2017
Contract Begin Date
10/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/30/2018
Pharmacy closed
Contacts
Covered Entity Signing Official
Katherine McLeod, CEO
(478) 254-7204
Contract Pharmacy Representative
Kroger
Anastasia Frey, Senior Manager, Payor Contracting
(513) 698-1875
Signed By Date
7/14/2017
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