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WALGREEN CO.
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
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 04236
2261 S STERLING AVE
INDEPENDENCE, MO 64052
Pharmacy Comments
Contract Details
Approval Date
7/23/2014
Contract Begin Date
10/1/2014
Carve-In Effective Date
Contract Comments
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
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