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KROGER PHARMACY L-714
SCH140210-00 HARRISBURG MEDICAL CENTER INC.
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Covered Entity Details
Entity Name
HARRISBURG MEDICAL CENTER INC.
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH140210-00
Entity Address
100 DR WARREN TUTTLE DRIVE
HARRISBURG, IL 62946
Medicare Provider Number
140210
Participating Start Date
1/1/2025
Last Recertification Date
Pharmacy Details
Pharmacy Name
KROGER PHARMACY L-714
Pharmacy Address
501 NORTH GIANT CITY ROAD
CARBONDALE, IL 62902
Pharmacy Comments
Contract Details
Approval Date
7/13/2017
Contract Begin Date
10/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2019
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
June Hayes, CFO
(618) 253-0141
Contract Pharmacy Representative
Kroger
Anastasia Frey, Senior Manager, Payor Contracting
(513) 698-1875
Signed By Date
7/13/2017
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