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KOLLING PHARMACY, INC
CH074010 KONZA PRAIRIE COMMUNITY HEALTH CENTER INC
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Covered Entity Details
Entity Name
KONZA PRAIRIE COMMUNITY HEALTH CENTER INC
Subdivision Name
KONZA PRAIRIE COMMUNITY HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH074010
Entity Address
361 Grant Ave
Junction City, KS 66441-4201
Grant Number
H80CS00210
Participating Start Date
1/1/1997
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
KOLLING PHARMACY, INC
Pharmacy Address
C/O GARY R KOLLING
120 N EISENHOWER
JUNCTION CITY, KS 66441
Pharmacy Comments
Contract Details
Approval Date
11/2/2006
Contract Begin Date
11/2/2006
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2016
Pharmacy closed
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
10/26/2006
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