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PROFESSIONAL PHARMACY
CHC08772-02 GRACEMED HEALTH CLINIC, INC.
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Covered Entity Details
Entity Name
GRACEMED HEALTH CLINIC, INC.
Subdivision Name
GraceMed Healthy Family Clinic
Type
HRSA-Funded Health Center
340B ID
CHC08772-02
Entity Address
1905 S Laura St
Wichita, KS 67211-3211
Grant Number
H80CS08772
Participating Start Date
4/1/2005
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
PROFESSIONAL PHARMACY
Pharmacy Address
401 N WACO ST
WICHITA, KS 67202
Pharmacy Comments
Contract Details
Approval Date
2/25/2010
Contract Begin Date
2/25/2010
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/15/2025
Ownership change
Contacts
Covered Entity Signing Official
DAVID C. SANFORD, CEO
(316) 494-2001
Contract Pharmacy Representative
Signed By Date
11/11/2009
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