Contract Pharmacy Details

RED CROSS PHARMACY
CH070290 SAMUEL U RODGERS HEALTH CENTER, INC.

Covered Entity Details

Entity Name

SAMUEL U RODGERS HEALTH CENTER, INC.

Subdivision Name

Samuel U. Rodgers Health Center Downtown Campus

Type

HRSA-Funded Health Center

340B ID

CH070290

Entity Address

825 EUCLID AVENUE
KANSAS CITY, MO 64124-2323

Grant Number

H80CS00784

Participating Start Date

12/1/1992

Last Recertification Date

2/28/2025

Pharmacy Details

Pharmacy Name

RED CROSS PHARMACY

Pharmacy Address

1030 MAIN ST
LEXINGTON, MO 64067

Pharmacy Comments

Contract Details

Approval Date

6/11/2012

Contract Begin Date

6/11/2012

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

12/31/2018
Ownership change

Contacts

Covered Entity Signing Official

Hilda Fuentes, President & CEO
(816) 889-4600

Contract Pharmacy Representative

Red Cross Pharmacy
Scott Hartwig, CEO
(660) 886-5535

Signed By Date

5/31/2012

340B Drug Pricing Program Database