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KROGER FOOD & PHARMACY #434
CH046150 AARON E. HENRY COMMUNITY HEALTH SERVICES CENTER, INC.
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Covered Entity Details
Entity Name
AARON E. HENRY COMMUNITY HEALTH SERVICES CENTER, INC.
Subdivision Name
AARON E. HENRY - CLARKSDALE CLINIC
Type
HRSA-Funded Health Center
340B ID
CH046150
Entity Address
800 Ohio Ave
Clarksdale, MS 38614-7200
Grant Number
H80CS00480
Participating Start Date
7/1/1998
Last Recertification Date
3/3/2025
Pharmacy Details
Pharmacy Name
KROGER FOOD & PHARMACY #434
Pharmacy Address
110 KEATING ROAD
BATESVILLE, MS 38606
Pharmacy Comments
Contract Details
Approval Date
11/15/2011
Contract Begin Date
11/15/2011
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Aurelia Jones-Taylor, CEO
(662) 624-4292
Contract Pharmacy Representative
Kroger
Mike Puccini, New Business Development Manager
(513) 762-4672
Signed By Date
11/10/2011
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