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Walmart Pharmacy 10-7611
CHC24108-00 HEALTH PARTNERSHIP CLINIC INC
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Covered Entity Details
Entity Name
HEALTH PARTNERSHIP CLINIC INC
Subdivision Name
Health Partnership Clinic, Inc.
Type
HRSA-Funded Health Center
340B ID
CHC24108-00
Entity Address
407 S Clairborne Rd
STE 104
Olathe, KS 66062
Grant Number
H80CS24108
Participating Start Date
10/1/2012
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
10/13/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
11/19/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Amy Falk, CEO
(913) 433-7583
Contract Pharmacy Representative
Walmart
Julie Howard, 340b Program Manager
(479) 739-1973 Ext: 4792771498
Signed By Date
10/13/2023
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