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WALGREEN CO.
CH070150 HUNTER HEALTH CLINIC INC, THE
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Covered Entity Details
Entity Name
HUNTER HEALTH CLINIC INC, THE
Subdivision Name
HUNTER HEALTH CLINIC CENTRAL CLINIC
Type
HRSA-Funded Health Center
340B ID
CH070150
Entity Address
527 N Grove
Wichita, KS 67214-4436
Grant Number
H80CS00622
Participating Start Date
10/1/2013
Last Recertification Date
2/24/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA WALGREENS SPECIALTY PHARMACY #16517
803 N BROADWAY AVE
WICHITA, KS 67214
Pharmacy Comments
Contract Details
Approval Date
4/17/2017
Contract Begin Date
7/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Amy Feimer, CEO
(316) 262-3611 Ext: 1111
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/17/2017
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