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WAL-MART PHARMACY 10-2490
CHC33652-00 Turner House Clinic Inc.
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Covered Entity Details
Entity Name
Turner House Clinic Inc.
Subdivision Name
Vibrant Health - Argentine
Type
HRSA-Funded Health Center
340B ID
CHC33652-00
Entity Address
1428 S 32nd St Ste 100
Kansas City, KS 66106-2160
Grant Number
H80CS33652
Participating Start Date
4/1/2022
Last Recertification Date
Entity Termination Date
4/1/2023
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-2490
Pharmacy Address
5150 ROE AVE
ROELAND PARK, KS 66205
Pharmacy Comments
Contract Details
Approval Date
11/15/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2022
Covered Entity Terminated
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
10/15/2019
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