340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
KROGER PHARMACY #010
DSH450330B OAKBEND MEDICAL CENTER
Print
Covered Entity Details
Entity Name
OAKBEND MEDICAL CENTER
Subdivision Name
Grand Parkway Emergency
Type
Disproportionate Share Hospital
340B ID
DSH450330B
Entity Address
7830 W GRAND PARKWAY S.
RICHMOND, TX 77406-5816
Medicare Provider Number
450330
Outpatient Facility Provider Number
Participating Start Date
7/1/2017
Last Recertification Date
8/20/2019
Entity Termination Date
10/1/2021
Pharmacy Details
Pharmacy Name
KROGER PHARMACY #010
Pharmacy Address
24401 BRAZOS TOWN CROSSING
ROSENBERG, TX 77471
Pharmacy Comments
Contract Details
Approval Date
7/17/2017
Contract Begin Date
10/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/11/2019
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Jeffrey Hammel, CFO
(281) 341-4881
Contract Pharmacy Representative
Kroger
Anastasia Frey, Senior Manager, Payor Contracting
(513) 698-1875
Signed By Date
7/17/2017
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