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WALGREEN CO
CHC08772-00 GRACEMED HEALTH CLINIC, INC.
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Covered Entity Details
Entity Name
GRACEMED HEALTH CLINIC, INC.
Subdivision Name
GraceMed Main Health Clinic
Type
HRSA-Funded Health Center
340B ID
CHC08772-00
Entity Address
1122 N Topeka St
Wichita, KS 67214-2810
Grant Number
H80CS08772
Participating Start Date
4/1/2005
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO
Pharmacy Address
DBA: WALGREENS #10721
119 W. 6TH AVE
EL DORADO, KS 67042-1934
Pharmacy Comments
Contract Details
Approval Date
10/13/2021
Contract Begin Date
1/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Venus Lee, Chief Executive Officer
(316) 866-2064
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/13/2021
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