Contract Pharmacy Details

WALGREEN CO.
CH077570 COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS, INC.

Covered Entity Details

Entity Name

COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS, INC.

Subdivision Name

COMMUNITY HEALTH CENTER OF SOUTHEAST KS

Type

HRSA-Funded Health Center

340B ID

CH077570

Entity Address

3011 N Michigan St
Pittsburg, KS 66762-2546

Grant Number

H80CS00841

Participating Start Date

1/1/2005

Last Recertification Date

2/11/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA WALGREENS SPECIALTY PHARMACY #16517
803 N BROADWAY AVE
WICHITA, KS 67214

Pharmacy Comments

Contract Details

Approval Date

7/14/2021

Contract Begin Date

10/1/2021

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

KRISTA POSTAI, CEO
(620) 235-1867

Contract Pharmacy Representative

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

Signed By Date

7/14/2021

340B Drug Pricing Program Database