340B Drug Pricing Program Database
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Walmart Pharmacy 10-7611
CH076340 HEART OF KANSAS FAMILY HEALTH CARE, INC.
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Covered Entity Details
Entity Name
HEART OF KANSAS FAMILY HEALTH CARE, INC.
Subdivision Name
GREAT BEND CLINIC
Type
HRSA-Funded Health Center
340B ID
CH076340
Entity Address
1905 19th St
Great Bend, KS 67530-2502
Grant Number
H80CS00825
Participating Start Date
4/1/2006
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
Walmart Pharmacy 10-7611
Pharmacy Address
2501 Perry Rd
Plainfield, IN 46168
Pharmacy Comments
Contract Details
Approval Date
10/10/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
William B. Middleton, CEO
(620) 792-5700 Ext: 107
Contract Pharmacy Representative
Walmart
Julie Howard, 340B Program Manager
(479) 277-1498
Signed By Date
10/10/2023
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