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CLINICAL SOLUTIONS, LLC
STD67202 Kansas Department of Corrections
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Covered Entity Details
Entity Name
Kansas Department of Corrections
Subdivision Name
Wichita Work Release Facility
Type
Sexually Transmitted Diseases
340B ID
STD67202
Entity Address
401 S. Emporia Street
Wichita, KS 67202
Grant Number
NH25PS005173
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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