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WAL-MART PHARMACY 10-2490
CHC33652-01 Turner House Clinic Inc.
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Covered Entity Details
Entity Name
Turner House Clinic Inc.
Subdivision Name
Vibrant Health - Children's Campus
Type
HRSA-Funded Health Center
340B ID
CHC33652-01
Entity Address
444 Minnesota Ave
Rm 126
Kansas City, KS 66101-2939
Grant Number
H80CS33652
Participating Start Date
1/1/2020
Last Recertification Date
2/13/2025
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
1/19/2023
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
10/15/2019
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