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WALMART PHARMACY 10-6172
CHC33652-05 Turner House Clinic Inc.
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Covered Entity Details
Entity Name
Turner House Clinic Inc.
Subdivision Name
Vibrant Health - Central, #201
Type
HRSA-Funded Health Center
340B ID
CHC33652-05
Entity Address
21 N 12th St Ste 201
Kansas City, KS 66102-5172
Grant Number
H80CS33652
Participating Start Date
11/18/2021
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
WALMART PHARMACY 10-6172
Pharmacy Address
2300 METROPOLITAN AVE
KANSAS CITY, KS 66106
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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