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CLINICAL SOLUTIONS KANSAS, LLC
TB670422 Kansas Department of Corrections
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Covered Entity Details
Entity Name
Kansas Department of Corrections
Subdivision Name
El Dorado Correctional Facility
Type
Tuberculosis
340B ID
TB670422
Entity Address
1737 SE US Highway 54
Deliver to K-Building
El Dorado, KS 67042
Grant Number
NU52PS910229
Participating Start Date
1/1/2023
Last Recertification Date
5/10/2024
Pharmacy Details
Pharmacy Name
CLINICAL SOLUTIONS KANSAS, LLC
Pharmacy Address
4615 N CYPRESS ST STE 150
BEL AIRE, KS 67226
Pharmacy Comments
Contract Details
Approval Date
7/11/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Gerald Jorgenson, Director of Office of Health Care Compliance
(785) 207-1481
Contract Pharmacy Representative
Clinical Solutions, LLC
Christi Throneberry, CEO
(615) 369-2485
Signed By Date
7/11/2024
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