Covered Entity Details

CH07757AK COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS INC (Active) - information as of 5/29/2025 1:50:30 AM

Main Details

Name

COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS INC

Subdivision Name

Community Health Center of Southeast Kansas/Humboldt

Type

HRSA-Funded Health Center

Site ID

BPS-H80-038546

340B ID

CH07757AK

Grant Number

H80CS00841

Additional Details

Current Program Status

Active

Registration Date

7/2/2024

Participating Start Date

10/1/2024

Participating Approval Date

7/8/2024

Last Recertification Date

2/10/2025

Contacts

Authorizing Official

Community Health Center of Southeast Kansas
KRISTA POSTAI, CEO
(620) 235-1867

Primary Contact

CHC/SEK
Jason Wesco, Executive Vice President
(620) 240-5076

Addresses

Street Address

1216 Hawaii Rd
Humboldt, KS 66748-1390

Billing Address

Community Health Center of Southeast Kansas
3011 N Michigan
Pittsburg, KS 66762

Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
History

Comments

Comment	Last Updated On
No records to display.

Medicaid Billing

At this site, will the covered entity bill Medicaid fee-for-service for drugs purchased at 340B prices?
Yes

State	Medicaid Number	NPI Number
KS	30003958250081,30003958250082	1801643200

Shipping Addresses

Same as Street Address

Contract Pharmacies

Contract Detail	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Approval Date	Begin Date	Carve-In Effective Date	Termination Date	Last Updated On
No records to display.

Grantee Sites

340B ID	340B Status	SiteId	Name	Sub Name	Address	City	State
CH077570	Active	BPS-H80-001437	COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS, INC.	COMMUNITY HEALTH CENTER OF SOUTHEAST KS	3011 N Michigan St	Pittsburg	KS
CH07757AA	Terminated	BPS-H80-028052	COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS, INC.	Community Health Center of Southeast Kansas/Chanute Elementary	500 Osa Martin Blvd	Chanute	KS
CH07757AB	Active	BPS-H80-033117	COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS, INC.	Community Health Center of Southeast Kansas/La Cygne	1017 E Market St	La Cygne	KS
CH07757AC	Active	BPS-H80-035204	COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS INC	Community Health Center of Southeast Kansas/Fort Scott	2322 S Main St	Fort Scott	KS
CH07757AD	Active	BPS-H80-035662	COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS INC	Pheasant Ridge Community Health Center of Southeast Kansas	312 South Maple Street	Garnett	KS
CH07757AE	Active	BPS-H80-036660	COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS INC	CHC/OK Bartlesville Clinic	1223 Swan Dr	Bartlesville	OK
CH07757AF	Active	BPS-H80-035622	COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS INC	Community Health Center of Southeast Kansas/Iola Elementary School	203 N Kentucky St	Iola	KS
CH07757AG	Active	BPS-H80-035391	COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS INC	Community Health Center of Southeast Kansas/Baxter Springs High School	100 N. Military Avenue	Baxter Springs	KS
CH07757AH	Active	BPS-H80-036596	COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS INC	Community Health Center of Southeast Kansas/Central Elementary	810 S Highschool Ave	Columbus	KS
CH07757AJ	Active	BPS-H80-036850	COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS INC	Community Health Center of Southeast Kansas Pittsburg State University Health Center	1801 S Broadway St	Pittsburg	KS
CH07757AK	Active	BPS-H80-038546	COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS INC	Community Health Center of Southeast Kansas/Humboldt	1216 Hawaii Rd	Humboldt	KS
CH07757B	Active	BPS-H80-001721	COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS, INC.	Community Health Center of Southeast Kansas Downtown	924 N. Broadway St.	Pittsburg	KS
CH07757G	Active	BPS-H80-029885	COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS, INC.	Community Health Center of Southeast Kansas/Columbus Clinic	101 W. Sycamore Street	Columbus	KS
CH07757H	Active	BPS-H80-009604	COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS, INC.	Community Health Center of Southeast Kansas/Baxter Springs	2990 Military Avenue	Baxter Springs	KS
CH07757J	Active	BPS-H80-010766	COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS, INC.	Community Health Center of Southeast Kansas/CES	102 S. Cline	Coffeyville	KS
CH07757K	Active	BPS-H80-019038	Community Health Center of Southeast Kansas	Coffeyville Clinic	801 W. Eighth Street	Coffeyville	KS
CH07757L	Active	BPS-H80-022196	COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS, INC.	Community Health Center of Southeast Kansas / Iola	2051 N. State Street	Iola	KS
CH07757M	Active	BPS-H80-012804	COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS, INC.	CHC/SEK's Field Kindley Student Health Center	1110 W 8th St	Coffeyville	KS
CH07757N	Active	BPS-H80-013983	COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS, INC.	Community Health Center of Southeast Kansas/Four County Mental Health	3354 Hwy 160	INDEPENDENCE	KS
CH07757P	Active	BPS-H80-017293	COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS, INC.	Community Health Center of Southeast Kansas/Parsons	2100 Commerce Drive	PARSONS	KS
CH07757Q	Active	BPS-H80-024511	COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS, INC.	Kid Care Connection	3011 N Michigan St	Pittsburg	KS
CH07757R	Active	BPS-H80-027065	COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS, INC.	Community Health Center of Southeast Kansas/Pleasanton	11155 Tucker Rd	Pleasanton	KS
CH07757S	Terminated	BPS-H80-027210	COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS, INC.	Community Health Center of Southeast Kansas/Walk In Care Fort Scott	1624 S National Ave	Fort Scott	KS
CH07757T	Active	BPS-H80-027059	COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS, INC.	Community Health Center of Southeast Kansas/Arma	601 E Washington St	Arma	KS
CH07757U	Terminated	BPS-H80-027048	COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS, INC.	Community Health Center of Southeast Kansas/Fort Scott	401 Woodland Hills Blvd	Fort Scott	KS
CH07757V	Active	BPS-H80-027450	COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS, INC.	Community Health Center of Southeast Kansas/Mound City	302 N 1st St	Mound City	KS
CH07757W	Active	BPS-H80-024943	COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS, INC.	CHC/SEK/Pittsburg High School	1978 E 4th St	Pittsburg	KS
CH07757X	Active	BPS-H80-030285	COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS, INC.	Community Health Center of Miami	106 N. W. Veterans Blvd	Miami	OK
CH07757Y	Active	BPS-H80-030638	COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS, INC.	CHC/SEK South Pittsburg	1011 S Mount Carmel Pl	Pittsburg	KS
CH07757Z	Active	BPS-H80-029467	COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS, INC.	Community Health Center of Wyandotte Schools	7 S 1st St	Wyandotte	OK

Grantee Sites Contract Pharmacies

340B ID	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Begin Date	Termination Date
CH077570	AUBURN PHARMACY	2020 MAIN		PARSONS	KS	67357	10/01/2020	02/17/2021
CH077570	AUBURN PHARMACY #125	AUBURN PHARMACY, INC.	625 MAIN ST	MOUND CITY	KS	66056-9100	04/01/2019	10/01/2019
CH077570	AUBURN PHARMACY #125	AUBURN PHARMACY, INC.	625 MAIN ST	MOUND CITY	KS	66056-9100	04/01/2020
CH077570	AUBURN PHARMACY INC.	AUBURN PHARMACY	20375 W 151ST ST STE 100A	OLATHE	KS	66061-5353	01/01/2021
CH077570	AUBURN PHARMACY, INC	429 N MAPLE ST		GARNETT	KS	66032-1074	01/01/2021
CH077570	AUBURN PHARMACY, INC.	AUBURN PHARMACY	6 S METCALF RD	LOUISBURG	KS	66053	10/01/2020
CH077570	BOWEN PHARMACY	1519 MAIN ST		PARSONS	KS	67357-3332	10/01/2018
CH077570	BOWEN PHARMACY SOUTH	1902 S US HIGHWAY 59 STE 100		PARSONS	KS	67357-4948	01/01/2016
CH07757P	BOWEN PHARMACY SOUTH	1902 S US HIGHWAY 59 STE 100		PARSONS	KS	67357-4948	07/01/2018
CH077570	CARDINAL DRUGSTORE	103 E MAIN ST		CHANUTE	KS	66720-1844	10/01/2018
CH077570	CYSTIC FIBROSIS SERVICES, LLC	DBA WALGREENS SPECIALTY PHARMACY #16280	10530 JOHN W ELLIOTT DR STE 200	FRISCO	TX	75033	01/01/2022
CH077570	DILLONS PHARMACY #108	2600 NORTH BROADWAY		PITTSBURG	KS	66762	07/01/2014	01/05/2024
CH07757G	EVAN'S DRUG INC.	P.O. BOX 309	116 W PINE ST	COLUMBUS	KS	66725-0309	10/01/2007
CH077570	EVAN'S DRUG INC.	P.O. BOX 309	116 W PINE ST	COLUMBUS	KS	66725-0309	10/01/2018
CH077570	FORT SCOTT PHARMACY	2322 SOUTH MAIN. SUITE B		FORT SCOTT	KS	66701	01/01/2019	01/31/2019
CH077570	FOUR STATES APOTHECARY DBA CJ PHARMACY	102 S MAIN ST		CARL JUNCTION	MO	64834-1000	04/01/2021
CH077570	FOUR STATES PHARMACY	1605 K66	SUITE B	GALENA	KS	66739	04/01/2021
CH07757K	GENOA HEALTHCARE, LLC	3751 WEST MAIN ST		INDEPENDENCE	KS	67301	04/01/2014	06/17/2020
CH07757N	GENOA HEALTHCARE, LLC	3751 WEST MAIN ST		INDEPENDENCE	KS	67301	01/01/2015	07/10/2018
CH07757L	IOLA PHARMACY	109 E MADISON AVE		IOLA	KS	66749-3330	01/01/2014	01/12/2016
CH07757L	IOLA PHARMACY	109 E MADISON AVE		IOLA	KS	66749-3330	01/01/2018
CH077570	IOLA PHARMACY	109 E MADISON AVE		IOLA	KS	66749-3330	10/01/2018
CH07757L	IOLA PHARMACY CLINIC	IOLA PHARMACY, INC	1408 EAST ST	IOLA	KS	66749-4402	01/01/2014	01/12/2016
CH07757L	IOLA PHARMACY CLINIC	IOLA PHARMACY, INC	1408 EAST ST	IOLA	KS	66749-4402	01/01/2017
CH077570	IOLA PHARMACY CLINIC	IOLA PHARMACY, INC	1408 EAST ST	IOLA	KS	66749-4402	10/01/2018	04/12/2025
CH077570	LIMESTONE PHARMACY, PLLC	3803 NOWATA RD STE C		BARTLESVILLE	OK	74006-5135	10/01/2023
CH077570	LINDBURG PHARMACY	909 E CENTENNIAL DR		PITTSBURG	KS	66762-6601	07/01/2020
CH077570	LINDBURG PHARMACY NORTH		2720 N BROADWAY	PITTSBURG	KS	66762	07/01/2020
CH077570	MATHIS DRUG STORE INC	400 W SAINT JOHN ST	PO BOX 97	GIRARD	KS	66743-1213	04/01/2022	11/30/2023
CH077570	MATHIS DRUGS	400 W SAINT JOHN ST		GIRARD	KS	66743	07/01/2024
CH077570	MERCY PHARMACY FT. SCOTT	MERCY PHARMACY SERVICES. LLC	401 WOODLAND HILLS BLVD	FORT SCOTT	KS	66701	01/01/2019	10/01/2019
CH077570	OSBORN DRUGS INC	11 W CENTRAL AVE		MIAMI	OK	74354	04/01/2020
CH077570	OSWEGO DRUG STORE	413 COMMERCIAL ST		OSWEGO	KS	67356	04/01/2021
CH077570	PLEASANTON DRUG COMPANY	11240 TUCKER RD		PLEASANTON	KS	66075-8402	04/01/2019	11/04/2019
CH077570	PRIME THERAPEUTICS SPECIALTY PHARMACY LL	ALLIANCERX WALGREENS PRIME #16568	2354 COMMERCE PARK DRIVE SUITE 100	ORLANDO	FL	32819-9992	01/01/2022	10/01/2022
CH077570	SILVER CREEK PHARMACY & GIFTS	945 MARKET ST		LA CYGNE	KS	66040-4100	04/01/2019
CH077570	SUPER D DRUGS ACQUISITION CO.	BAXTER DRUG #15798 POWERED BY WALGREENS	1000 MILITARY AVENUE	BAXTER SPRINGS	KS	66713	01/01/2014	06/07/2022
CH07757J	The Prescription Shop	601 W. 11th Street		Coffeyville	KS	67337	01/31/2012
CH077570	The Prescription Shop	601 W. 11th Street		Coffeyville	KS	67337	01/01/2019
CH077570	WAL-MART CENTRAL FILL 10-2670	608 SPRING HILL DR # 3 SUITE 300		SPRING	TX	77386	10/01/2017
CH077570	WAL-MART PHARMACY 10-0028	2415 N.W MAIN STREET		MIAMI	OK	74354	01/01/2021
CH077570	WAL-MART PHARMACY 10-0034	2250 LINCOLN AVE		NEVADA	MO	64772	07/01/2020
CH077570	WAL-MART PHARMACY 10-0039	2500 SOUTH MAIN		FORT SCOTT	KS	66701	04/01/2018
CH077570	WAL-MART PHARMACY 10-0041	4000 GREEN COUNTRY ROAD		BARTLESVILLE	OK	74006	04/01/2022	04/01/2024
CH077570	WAL-MART PHARMACY 10-0042	1863 COUNTY ROAD 5300		COFFEYVILLE	KS	67337	07/01/2016
CH077570	WAL-MART PHARMACY 10-0072	2710 NORTH BROADWAY		PITTSBURG	KS	66762	07/01/2014
CH077570	WAL-MART PHARMACY 10-0079	2623 WEST 7TH STREET		JOPLIN (W)	MO	64801	01/01/2022
CH077570	WAL-MART PHARMACY 10-0111	2700 SOUTH SANTA FE		CHANUTE	KS	66720	04/01/2021
CH077570	WAL-MART PHARMACY 10-0208		2970 MILITARY AVENUE	BAXTER SPRINGS	KS	66713	07/01/2014	04/13/2018
CH077570	WAL-MART PHARMACY 10-0338	29 SOUTHWEST FIRST LN		LAMAR	MO	64759	01/01/2022
CH077570	WAL-MART PHARMACY 10-0368	3201 NORTH 16TH ST		PARSONS	KS	67357	07/01/2020
CH077570	WAL-MART PHARMACY 10-1187	2200 N. STATE ST.		IOLA	KS	66749	07/01/2014
CH077570	WAL-MART PHARMACY 10-2893	121 SO. PETER PAN ROAD		INDEPENDENCE	KS	67301	01/01/2021
CH077570	WAL-MART PHARMACY 10-5997	9600 PARKSOUTH CT. SUITE 100		ORLANDO	FL	32837	10/01/2017
CH077570	WALGREEN CO	DBA: WALGREENS #11086	2229 S MAIN ST	FORT SCOTT	KS	66701-3023	10/05/2011	01/22/2025
CH077570	WALGREEN CO.	DBA: WALGREENS # 03598	2001 S. MAIN STREET	JOPLIN	MO	64804	10/05/2011
CH077570	WALGREEN CO.	DBA: WALGREENS # 05928	1011 W MACARTHUR	WEBB CITY	MO	64870	10/05/2011
CH077570	WALGREEN CO.	DBA: WALGREENS # 09049	1911 N BROADWAY STREET	PITTSBURG	KS	66762-2811	10/05/2011
CH077570	WALGREEN CO.	DBA: WALGREENS # 09455	1528 MAIN STREET	PARSONS	KS	67357-3333	10/05/2011
CH077570	WALGREEN CO.	DBA: WALGREENS #12713	1605 W 7TH ST	JOPLIN	MO	64801	10/05/2011	11/17/2022
CH077570	WALGREEN CO.	DBA: WALGREENS #12628	2001 S RANGE LINE RD	JOPLIN	MO	64804	10/05/2011
CH077570	WALGREEN CO.	DBA: WALGREENS # 09454	301 W MAIN ST	INDEPENDENCE	KS	67301	10/05/2011
CH077570	WALGREEN CO.	DBA: WALGREENS # 07889	910 N MAIN STREET	MIAMI	OK	74354-3317	10/05/2011
CH07757P	WALGREEN CO.	DBA: WALGREENS # 09455	1528 MAIN STREET	PARSONS	KS	67357-3333	07/01/2018
CH077570	WALGREEN CO.	DBA WALGREENS SPECIALTY PHARMACY #16517	803 N BROADWAY AVE	WICHITA	KS	67214	10/01/2021
CH077570	WALGREEN CO.	WALGREENS #15751	1920 SE WASHINGTON BLVD	BARTLESVILLE	OK	74006	07/01/2024
CH077570	WALGREEN CO.	DBA: WALGREENS # 06618	3816 E FRANK PHILLIPS BLVD	BARTLESVILLE	OK	74006-8316	07/01/2024
CH077570	Walgreens Central Fill #21394	2601 Hughes Road	Suite 103	Liberty	MO	64068	04/01/2023
CH077570	WALGREENS MAIL SERVICE, INC.	8350 S RIVER PARKWAY		TEMPE	AZ	85284	01/01/2014	06/25/2015
CH077570	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #15443	10530 JOHN W ELLIOTT DR STE 100	FRISCO	TX	75033	10/01/2021
CH077570	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #15438	41460 HAGGERTY CIR S	CANTON	MI	48188	01/01/2022
CH077570	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #16287	130 ENTERPRISE DR	PITTSBURGH	PA	15275	01/01/2022
CH077570	WALMART PHARMACY 10-5169	2252 NORTH 8TH STREET	SUITE A	ROGERS	AR	72756	04/01/2023
CH077570	WALMART PHARMACY 10-5791	1011 E CENTENNIAL DRIVE		PITTSBURG	KS	66762	01/01/2021
CH077570	Walmart Pharmacy 10-7611	2501 Perry Rd		Plainfield	IN	46168	01/01/2024
CH07757H	WOLKAR DRUG	1920 MILITARY AVE		BAXTER SPRINGS	KS	66713-2039	07/02/2011
CH077570	WOLKAR DRUG	1920 MILITARY AVE		BAXTER SPRINGS	KS	66713-2039	10/01/2018

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	Last Recertification Date	Update	Recertification		2/10/2025 8:58:45 AM	2/10/2025 8:58 AM
Details	State	Update		Approved	Active	10/1/2024 12:01 AM
Contacts	Signed By	Insert	New Registration		POSTAI, KRISTA CEO Community Health Center of Southeast Kansas 6202351867	7/8/2024 8:35 AM
Details	340B ID	Update	New Registration		CH07757AK	7/8/2024 8:35 AM
Dates	Participating Approval Date	Update	New Registration		7/8/2024 8:35:56 AM	7/8/2024 8:35 AM
Details	State	Update	New Registration	Pending	Approved	7/8/2024 8:35 AM
Dates	Signed By Date	Update	New Registration		7/2/2024 9:02:33 AM	7/8/2024 8:35 AM
Dates	Start Date	Update	New Registration		10/1/2024 12:00:00 AM	7/8/2024 8:35 AM
Addresses	Main Address	Insert	New Registration		1216 Hawaii Rd Humboldt, KS 66748-1390	7/2/2024 9:02 AM
Addresses	Billing Address	Insert	New Registration		Community Health Center of Southeast Kansas 3011 N Michigan Pittsburg, KS 66762	7/2/2024 9:02 AM
Medicaid Billing	Medicaid: Is Primary	Insert	New Registration		False	7/2/2024 9:02 AM
Medicaid Billing	Medicaid: Number	Insert	New Registration		30003958250081	7/2/2024 9:02 AM
Medicaid Billing	Medicaid: State	Insert	New Registration		KS	7/2/2024 9:02 AM
Medicaid Billing	Medicaid: Is Primary	Insert	New Registration		False	7/2/2024 9:02 AM
Medicaid Billing	Medicaid: Number	Insert	New Registration		30003958250082	7/2/2024 9:02 AM
Medicaid Billing	Medicaid: State	Insert	New Registration		KS	7/2/2024 9:02 AM
Medicaid Billing	NPI: Number	Insert	New Registration		1801643200	7/2/2024 9:02 AM
Medicaid Billing	NPI: State	Insert	New Registration		KS	7/2/2024 9:02 AM
Contacts	Primary Contact	Insert	New Registration		Wesco, Jason Executive Vice President CHC/SEK 6202405076	7/2/2024 9:02 AM
Contacts	Authorizing Official	Insert	New Registration		POSTAI, KRISTA CEO Community Health Center of Southeast Kansas 6202351867	7/2/2024 9:02 AM
Details	Assistance Received From Date	Insert	New Registration			7/2/2024 9:02 AM
Details	Assistance Received To Date	Insert	New Registration			7/2/2024 9:02 AM
Details	Last Recertification Date	Insert	New Registration			7/2/2024 9:02 AM
Details	Grant Number	Insert	New Registration		H80CS00841	7/2/2024 9:02 AM
Details	340B ID	Insert	New Registration			7/2/2024 9:02 AM
Details	Is Authorizing Official EHB Data	Insert	New Registration			7/2/2024 9:02 AM
Dates	Last Date That 340B Drugs Purchased	Insert	New Registration			7/2/2024 9:02 AM
Details	Medicare Provider Number	Insert	New Registration			7/2/2024 9:02 AM
Details	Entity Name	Insert	New Registration		COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS INC	7/2/2024 9:02 AM
Details	NOFO Number	Insert	New Registration			7/2/2024 9:02 AM
Details	Program Code	Insert	New Registration		CH	7/2/2024 9:02 AM
Details	Entity Subname	Insert	New Registration		Community Health Center of Southeast Kansas/Humboldt	7/2/2024 9:02 AM
Dates	Participating Approval Date	Insert	New Registration			7/2/2024 9:02 AM
Details	State	Insert	New Registration		Pending	7/2/2024 9:02 AM
Dates	Registration Date	Insert	New Registration		7/2/2024 9:02:30 AM	7/2/2024 9:02 AM
Dates	Signed By Date	Insert	New Registration			7/2/2024 9:02 AM
Dates	Start Date	Insert	New Registration			7/2/2024 9:02 AM
Terminations	Termination Comments	Insert	New Registration			7/2/2024 9:02 AM
Terminations	Termination Date	Insert	New Registration			7/2/2024 9:02 AM
Terminations	Termination Effective Date	Insert	New Registration			7/2/2024 9:02 AM
Terminations	Termination Reason	Insert	New Registration			7/2/2024 9:02 AM

340B Drug Pricing Program Database