Contract Pharmacy Details

WALMART PHARMACY 10-0998
FQHCLA366 Turner House Clinic Inc.

Covered Entity Details

Entity Name

Turner House Clinic Inc.

Subdivision Name

Wyandotte Community Health Center - Silver City Health Cetner

Type

Health Center Program Look-Alike

340B ID

FQHCLA366

Entity Address

1428 S 32nd St Ste 100
Kansas City, KS 66106-2160

Grant Number

LALCS31599

Participating Start Date

7/1/2018

Last Recertification Date

2/1/2019

Entity Termination Date

4/1/2020

Pharmacy Details

Pharmacy Name

WALMART PHARMACY 10-0998

Pharmacy Address

4701 MISSION RD.
WESTWOOD, KS 66205

Pharmacy Comments

Contract Details

Approval Date

10/12/2018

Contract Begin Date

1/1/2019

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

7/1/2019
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

Patrick Sallee, CEO
(913) 342-2552

Contract Pharmacy Representative

Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498

Signed By Date

10/12/2018

340B Drug Pricing Program Database