Pharmacy Details

MEDICAL PARK PHARMACY OF GREAT BEND PA - information as of 6/3/2025 12:33:38 PM

Name
MEDICAL PARK PHARMACY OF GREAT BEND PA

Address

1309 POLK ST
GREAT BEND, KS 67530-3644

Comments

Contracts
History

Contracts

Contract Detail	340B ID	Entity Name	Sub Name	Entity Type	Address	Address Cont.	City	State	Begin Date	Term Date	Edit Date
Details	CAH171301-00	GREAT PLAINS OF ELLINWOOD INC.		Critical Access Hospital	300 N Park		ELLINWOOD	KS	04/01/2018	03/19/2024	10/3/2024 1:15 PM
Details	CH076340	HEART OF KANSAS FAMILY HEALTH CARE, INC.	GREAT BEND CLINIC	HRSA-Funded Health Center	1905 19th St		Great Bend	KS	06/29/2006		3/28/2013 3:11 PM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Pharmacy Address	Insert			MEDICAL PARK PHARMACY OF GREAT BEND PA 1309 POLK ST GREAT BEND, KS 67530-3644	1/4/2021 4:48 PM
Details	Name	Update		MEDICAL PARK PHARMACY OF	MEDICAL PARK PHARMACY OF GREAT BEND PA	1/4/2021 4:48 PM
Addresses	Pharmacy Address	Insert			MEDICAL PARK PHARMACY OF GREAT BEND PA 1309 POLK GREAT BEND, KS 67530-3644	9/29/2017 6:44 AM
Addresses	Pharmacy Address	Update		MEDICAL PARK PHARMACY OF GREAT BEND PA GREAT BEND, KS 67530-3644	MEDICAL PARK PHARMACY OF GREAT BEND PA 1309 POLK GREAT BEND, KS 67530-3644	3/28/2013 4:22 PM
Addresses	Pharmacy Address	Update		MEDICAL PARK PHARMACY OF GREAT BEND, PA 1309 POLK GREAT BEND, KS 67530	MEDICAL PARK PHARMACY OF GREAT BEND PA GREAT BEND, KS 67530-3644	3/28/2013 4:22 PM
Details	Name	Update		MEDICAL PARK PHARMACY OF GREAT BEND, PA	MEDICAL PARK PHARMACY OF	3/28/2013 4:22 PM
Details	Comments	Insert				6/30/2006 2:47 PM
Details	Is Deleted	Insert			False	6/30/2006 2:47 PM
Addresses	Pharmacy Address	Insert			MEDICAL PARK PHARMACY OF GREAT BEND, PA 1309 POLK GREAT BEND, KS 67530	6/30/2006 2:47 PM
Details	Name	Insert			MEDICAL PARK PHARMACY OF GREAT BEND, PA	6/30/2006 2:47 PM