Contract Pharmacy Details

WAL-MART PHARMACY 10-2490
CHC33652-04 Turner House Clinic Inc.

Covered Entity Details

Entity Name

Turner House Clinic Inc.

Subdivision Name

Vibrant Health - Central, #200

Type

HRSA-Funded Health Center

340B ID

CHC33652-04

Entity Address

21 N 12th St Ste 200
Kansas City, KS 66102-5172

Grant Number

H80CS33652

Participating Start Date

11/18/2021

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

340B Drug Pricing Program Database