340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
KROGER PHARMACY #014420
CH05099G HEALTHSOURCE OF OHIO, INC.
Print
Covered Entity Details
Entity Name
HEALTHSOURCE OF OHIO, INC.
Subdivision Name
HealthSource Mt. Orab
Type
HRSA-Funded Health Center
340B ID
CH05099G
Entity Address
150 Health Partners Circle
Mt. Orab, OH 45154
Grant Number
H80CS00201
Participating Start Date
10/1/1998
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
KROGER PHARMACY #014420
Pharmacy Address
381 MARKET SQUARE DRIVE
MAYSVILLE, KY 41056
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
12/28/2020
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