340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
KROGER PHARMACY #902
CH05099L HEALTHSOURCE OF OHIO, INC.
Print
Covered Entity Details
Entity Name
HEALTHSOURCE OF OHIO, INC.
Subdivision Name
HealthSource Batavia Family Practice & Pharmacy
Type
HRSA-Funded Health Center
340B ID
CH05099L
Entity Address
2055 Hospital Dr STE 130
Batavia, OH 45103-1978
Grant Number
H80CS00201
Participating Start Date
10/1/1998
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
KROGER PHARMACY #902
Pharmacy Address
4530 EASTGATE BOULEVARD, SUITE #500
CINCINNATI, OH 45245-1256
Pharmacy Comments
Contract Details
Approval Date
3/3/2011
Contract Begin Date
3/14/2011
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/11/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
2/23/2011
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