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GRAVES DRUG
CHC28372-01 COMMUNITY HEALTH CENTER IN COWLEY COUNTY INC
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Covered Entity Details
Entity Name
COMMUNITY HEALTH CENTER IN COWLEY COUNTY INC
Subdivision Name
Community Health Center in Cowley County - Integrated Care Building
Type
HRSA-Funded Health Center
340B ID
CHC28372-01
Entity Address
118 W 9th Ave
Winfield, KS 67156-2852
Grant Number
H80CS28372
Participating Start Date
10/1/2023
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
GRAVES DRUG
Pharmacy Address
212 S SUMMIT ST
ARKANSAS CITY, KS 67005-2847
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
David E. Brazil, Chief Executive Officer
(620) 705-5701
Contract Pharmacy Representative
Graves Drug
Dared Price, Owner
(620) 221-0080
Signed By Date
10/13/2023
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