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DILLONS PHARMACY #095
CH071247B Salina Health Education Foundation
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Covered Entity Details
Entity Name
Salina Health Education Foundation
Subdivision Name
SHEF Mobile Unit
Type
HRSA-Funded Health Center
340B ID
CH071247B
Entity Address
3030 Enterprise Dr
Salina, KS 67401
Grant Number
H80CS04216
Participating Start Date
7/1/2021
Last Recertification Date
2/17/2025
Pharmacy Details
Pharmacy Name
DILLONS PHARMACY #095
Pharmacy Address
1235 E CLOUD ST
SALINA, KS 67401
Pharmacy Comments
Contract Details
Approval Date
7/14/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Deborah K. Demel, CFO
(785) 825-7251 Ext: 319
Contract Pharmacy Representative
Kroger
Mike Puccini, New Business Development Manager
(513) 762-4672
Signed By Date
7/14/2023
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