340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DILLONS PHARMACY #10
CHC08239-00 PRAIRIESTAR HEALTH CENTER INC
Print
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
DILLONS PHARMACY #10
Pharmacy Address
725 E 4TH AVE
HUTCHINSON, KS 67501
Pharmacy Comments
Contract Details
Approval Date
7/14/2016
Contract Begin Date
10/1/2016
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Bryant Anderson, Chief Executive Officer
(620) 802-0035
Contract Pharmacy Representative
Kroger
Mike Puccini, New Business Development Manager
(513) 762-4672
Signed By Date
7/14/2016
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session