340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
HART PHARMACY INC
FQHCLA428 Holy Family Medical, Inc.
Print
Covered Entity Details
Entity Name
Holy Family Medical, Inc.
Subdivision Name
Holy Family Medical
Type
Health Center Program Look-Alike
340B ID
FQHCLA428
Entity Address
144 S Hillside St
Wichita, KS 67211-2154
Grant Number
LALCS42065
Participating Start Date
10/1/2021
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
HART PHARMACY INC
Pharmacy Address
6217 E 13TH ST N
WICHITA, KS 67208
Pharmacy Comments
Contract Details
Approval Date
4/15/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
BRENDA THANEL, CEO
(316) 682-9900 Ext: 200
Contract Pharmacy Representative
Hart Pharmacy
Jason Schmitz, Director
(316) 250-8609
Signed By Date
4/15/2023
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session