Contract Pharmacy Details

WALGREEN CO.
CHC24108-00 HEALTH PARTNERSHIP CLINIC INC

Covered Entity Details

Entity Name

HEALTH PARTNERSHIP CLINIC INC

Subdivision Name

Health Partnership Clinic, Inc.

Type

HRSA-Funded Health Center

340B ID

CHC24108-00

Entity Address

407 S Clairborne Rd
STE 104
Olathe, KS 66062

Grant Number

H80CS24108

Participating Start Date

10/1/2012

Last Recertification Date

2/10/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS # 09376
1445 S MAIN STREET
OTTAWA, KS 66067-3528

Pharmacy Comments

Contract Details

Approval Date

10/7/2015

Contract Begin Date

1/1/2016

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

11/30/2016
Covered Entity Terminated

Contacts

Covered Entity Signing Official

Jason Wesco, CEO
(913) 433-7583

Contract Pharmacy Representative

Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663

Signed By Date

10/7/2015

340B Drug Pricing Program Database