Contract Pharmacy Details

CLINICAL SOLUTIONS KANSAS, LLC
TB674391 Kansas Department of Corrections

Covered Entity Details

Entity Name

Kansas Department of Corrections

Subdivision Name

Ellsworth Correctional Facility

Type

Tuberculosis

340B ID

TB674391

Entity Address

1607 State St.
Ellsworth, KS 67439

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

340B Drug Pricing Program Database