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PHARMACY OF GRACE
FQHCLA441 MERCY & TRUTH MEDICAL MISSIONS, INC
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Covered Entity Details
Entity Name
MERCY & TRUTH MEDICAL MISSIONS, INC
Subdivision Name
Mercy and Truth Kansas City, KS
Type
Health Center Program Look-Alike
340B ID
FQHCLA441
Entity Address
721 N 31st St STE 101
Kansas City, KS 66102
Grant Number
LALCS47462
Participating Start Date
4/1/2023
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
PHARMACY OF GRACE
Pharmacy Address
PHARMACY OF GRACE INC.
721 N 31ST ST STE 100
KANSAS CITY, KS 66102
Pharmacy Comments
Contract Details
Approval Date
1/9/2023
Contract Begin Date
4/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Geofrey Kigenyi, CEO
(913) 621-0074 Ext: 36
Contract Pharmacy Representative
Pharmacy of Grace
Michael Fink, Pharmacist
(913) 953-8260
Signed By Date
1/9/2023
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