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KANSAS CVS PHARMACY, L.L.C.
CHC33652-02 Turner House Clinic Inc.
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Covered Entity Details
Entity Name
Turner House Clinic Inc.
Subdivision Name
Vibrant Health - Central
Type
HRSA-Funded Health Center
340B ID
CHC33652-02
Entity Address
21 N 12th St Ste 300
Kansas City, KS 66102-5105
Grant Number
H80CS33652
Participating Start Date
1/1/2020
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
KANSAS CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 08599
5170 ROE BLVD.
ROELAND PARK, KS 66205
Pharmacy Comments
Contract Details
Approval Date
11/15/2021
Contract Begin Date
1/1/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2022
Pharmacy closed
Contacts
Covered Entity Signing Official
Patrick J Sallee, CEO
(913) 320-2607
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
11/15/2021
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