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PRICE CHOPPER PHARMACY #11
CH070290 SAMUEL U RODGERS HEALTH CENTER, INC.
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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
PRICE CHOPPER PHARMACY #11
Pharmacy Address
207 NE ENGLEWOOD RD
KANSAS CITY, MO 64118
Pharmacy Comments
Contract Details
Approval Date
12/6/2012
Contract Begin Date
12/6/2012
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/6/2016
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Hilda Fuentes, President & CEO
(816) 889-4600
Contract Pharmacy Representative
Mike Halliwell, R.Ph., Director of Pharmacy
(816) 454-0710
Signed By Date
9/13/2012
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