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DILLONS PHARMACY #51
CH076340 HEART OF KANSAS FAMILY HEALTH CARE, INC.
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Covered Entity Details
Entity Name
HEART OF KANSAS FAMILY HEALTH CARE, INC.
Subdivision Name
GREAT BEND CLINIC
Type
HRSA-Funded Health Center
340B ID
CH076340
Entity Address
1905 19th St
Great Bend, KS 67530-2502
Grant Number
H80CS00825
Participating Start Date
4/1/2006
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
DILLONS PHARMACY #51
Pharmacy Address
4107 10TH STREET
GREAT BEND, KS 67530
Pharmacy Comments
Contract Details
Approval Date
4/1/2020
Contract Begin Date
7/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
William B. Middleton, CEO
(620) 792-5700 Ext: 107
Contract Pharmacy Representative
Kroger
Anastasia Frey, Senior Manager, Payor Contracting
(513) 698-1875
Signed By Date
4/1/2020
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