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CLINICAL SOLUTIONS, LLC
TB67654 Kansas Department of Corrections
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Covered Entity Details
Entity Name
Kansas Department of Corrections
Subdivision Name
Norton Correctional Facility
Type
Tuberculosis
340B ID
TB67654
Entity Address
11130 Rd E-4
Norton, KS 67654
Grant Number
NU52PS910286
Participating Start Date
1/1/2023
Last Recertification Date
5/7/2025
Pharmacy Details
Pharmacy Name
CLINICAL SOLUTIONS, LLC
Pharmacy Address
416 MARY LINDSAY POLK DR
STE 515
FRANKLIN, TN 37067-6212
Pharmacy Comments
Contract Details
Approval Date
4/7/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Gerald Jorgenson, Director of Office of Health Care Compliance
(785) 207-1481
Contract Pharmacy Representative
Clinical Solutions LLC
Christi Throneberry, CEO
(615) 369-2485
Signed By Date
4/7/2023
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