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WAL-MART CENTRAL FILL 10-2670
CHC24108-00 HEALTH PARTNERSHIP CLINIC INC
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Covered Entity Details
Entity Name
HEALTH PARTNERSHIP CLINIC INC
Subdivision Name
Health Partnership Clinic, Inc.
Type
HRSA-Funded Health Center
340B ID
CHC24108-00
Entity Address
407 S Clairborne Rd
STE 104
Olathe, KS 66062
Grant Number
H80CS24108
Participating Start Date
10/1/2012
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WAL-MART CENTRAL FILL 10-2670
Pharmacy Address
608 SPRING HILL DR # 3 SUITE 300
SPRING, TX 77386
Pharmacy Comments
Contract Details
Approval Date
7/10/2018
Contract Begin Date
10/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
11/19/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Amy Falk, CEO
(913) 433-7583
Contract Pharmacy Representative
Walmart
Julie Howard, 340B Program Manager
(479) 277-1498
Signed By Date
7/10/2018
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