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DILLONS PHARMACY #84
CHC24169-06 HEALTH MINISTRIES CLINIC INC
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Covered Entity Details
Entity Name
HEALTH MINISTRIES CLINIC INC
Subdivision Name
Health Ministries Clinic
Type
HRSA-Funded Health Center
340B ID
CHC24169-06
Entity Address
700 Medical Center Drive STE 101
Newton, KS 67114
Grant Number
H80CS24169
Participating Start Date
1/1/2025
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
DILLONS PHARMACY #84
Pharmacy Address
1216 NORTH MAIN
NEWTON, KS 67114
Pharmacy Comments
Contract Details
Approval Date
12/4/2024
Contract Begin Date
1/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Matthew Schmidt, Chief Executive Officer
(316) 281-7314
Contract Pharmacy Representative
Kroger
Mike Puccini, New Business Development Manager
(513) 762-4672
Signed By Date
10/14/2024
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