340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
Walgreens Central Fill #21394
CH070290 SAMUEL U RODGERS HEALTH CENTER, INC.
Print
Covered Entity Details
Entity Name
SAMUEL U RODGERS HEALTH CENTER, INC.
Subdivision Name
Samuel U. Rodgers Health Center Downtown Campus
Type
HRSA-Funded Health Center
340B ID
CH070290
Entity Address
825 EUCLID AVENUE
KANSAS CITY, MO 64124-2323
Grant Number
H80CS00784
Participating Start Date
12/1/1992
Last Recertification Date
2/28/2025
Pharmacy Details
Pharmacy Name
Walgreens Central Fill #21394
Pharmacy Address
2601 Hughes Road
Suite 103
Liberty, MO 64068
Pharmacy Comments
Contract Details
Approval Date
10/13/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Bob Theis, CEO
(816) 889-4802
Contract Pharmacy Representative
Walgreens
Edwin Raff, DVP Contracting & Pricing
(847) 964-6198
Signed By Date
10/13/2023
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