Contract Pharmacy Details

DILLONS PHARMACY #84
CHC24169-04 HEALTH MINISTRIES CLINIC INC

Covered Entity Details

Entity Name

HEALTH MINISTRIES CLINIC INC

Subdivision Name

Health Ministries Clinic--Bethel

Type

HRSA-Funded Health Center

340B ID

CHC24169-04

Entity Address

300 E 27th St
North Newton, KS 67117-8061

Grant Number

H80CS24169

Participating Start Date

7/1/2024

Last Recertification Date

Entity Termination Date

1/1/2025

Pharmacy Details

Pharmacy Name

DILLONS PHARMACY #84

Pharmacy Address

1216 NORTH MAIN
NEWTON, KS 67114

Pharmacy Comments

Contract Details

Approval Date

4/17/2024

Contract Begin Date

7/1/2024

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

1/1/2025
Covered Entity Terminated

Contacts

Covered Entity Signing Official

Matthew Schmidt, Chief Executive Officer
(316) 281-7314

Contract Pharmacy Representative

Kroger
Anastasia Frey, Senior Manager, Payor Contracting
(513) 698-1875

Signed By Date

4/15/2024

340B Drug Pricing Program Database