340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
KROGER PHARMACY 014920
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 014920
Pharmacy Address
210 STERLING RUN BLVD.
MT. ORAB, OH 45154
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