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SENIOR CARE PHARMACY
CHC08239-00 PRAIRIESTAR HEALTH CENTER INC
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Covered Entity Details
Entity Name
PRAIRIESTAR HEALTH CENTER INC
Subdivision Name
PRAIRIESTAR HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CHC08239-00
Entity Address
2700 E 30TH AVE
HUTCHINSON, KS 67502
Grant Number
H80CS08239
Participating Start Date
4/1/2012
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
SENIOR CARE PHARMACY
Pharmacy Address
1402 S RIDGE RD
WICHITA, KS 67209-2908
Pharmacy Comments
Contract Details
Approval Date
4/10/2015
Contract Begin Date
7/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
2/17/2016
Agreement registered in error
Contacts
Covered Entity Signing Official
Dana Schultz, Chief Financial Officer
(620) 794-7097
Contract Pharmacy Representative
PrairieStar Health Center
Bryant Anderson, Chief Executive Officer
(620) 802-0035
Signed By Date
4/10/2015
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