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WAL-MART PHARMACY 10-2490
CHC33652-03 Turner House Clinic Inc.
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Covered Entity Details
Entity Name
Turner House Clinic Inc.
Subdivision Name
Vibrant Health - Cordell D. Meeks, Jr. Clinic
Type
HRSA-Funded Health Center
340B ID
CHC33652-03
Entity Address
4313 State Ave
Kansas City, KS 66102-3734
Grant Number
H80CS33652
Participating Start Date
4/1/2021
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-2490
Pharmacy Address
5150 ROE AVE
ROELAND PARK, KS 66205
Pharmacy Comments
Contract Details
Approval Date
1/13/2022
Contract Begin Date
4/1/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/19/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Patrick J Sallee, CEO
(913) 320-2607
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
1/13/2022
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