Contract Pharmacy Details

WALGREENS MAIL SERVICE, INC.
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

WALGREENS MAIL SERVICE, INC.

Pharmacy Address

8337 S PARK CIRCLE
ORLANDO, FL 32819-9049

Pharmacy Comments

Contract Details

Approval Date

7/23/2014

Contract Begin Date

10/1/2014

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

7/7/2015
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

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

Contract Pharmacy Representative

Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663

Signed By Date

7/23/2014

340B Drug Pricing Program Database