Contract Pharmacy Details

MISSOURI CVS PHARMACY, L.L.C.
CHC33652-00 Turner House Clinic Inc.

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

MISSOURI CVS PHARMACY, L.L.C.

Pharmacy Address

CVS PHARMACY # 16558
17810 E 39TH ST S
INDEPENDENCE, MO 64055

Pharmacy Comments

Contract Details

Approval Date

4/14/2020

Contract Begin Date

7/1/2020

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

CVS Pharmacies
Christian Reid, 340B Program Director
(401) 770-2118

Signed By Date

4/14/2020

340B Drug Pricing Program Database