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KROGER PHARMACY #412
CH058480 NEIGHBORHOOD HEALTH CLINICS, INC.
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Covered Entity Details
Entity Name
NEIGHBORHOOD HEALTH CLINICS, INC.
Subdivision Name
Neighborhood Health - Calhoun Site
Type
HRSA-Funded Health Center
340B ID
CH058480
Entity Address
1717 S. Calhoun st
FORT WAYNE, IN 46802
Grant Number
H80CS00548
Participating Start Date
7/1/1998
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
KROGER PHARMACY #412
Pharmacy Address
1125 W STATE BLVD
FORT WAYNE, IN 46808-3185
Pharmacy Comments
Contract Details
Approval Date
7/16/2014
Contract Begin Date
10/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/30/2016
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Mary S. Haupert, President/CEO
(260) 458-2644
Contract Pharmacy Representative
Kroger
Mike Puccini, New Business Development Manager
(513) 762-4672
Signed By Date
7/16/2014
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