Contract Pharmacy Details

APOTHECARE - NORTH PITTSBURG
CHC24108-01 HEALTH PARTNERSHIP CLINIC, INC

Covered Entity Details

Entity Name

HEALTH PARTNERSHIP CLINIC, INC

Subdivision Name

Health Partnership Clinic

Type

HRSA-Funded Health Center

340B ID

CHC24108-01

Entity Address

9119 West 74th Street
Suite 210
Shawnee Mission, KS 66204-2229

Grant Number

H80CS24108

Participating Start Date

10/1/2012

Last Recertification Date

3/1/2016

Entity Termination Date

1/1/2017

Pharmacy Details

Pharmacy Name

APOTHECARE - NORTH PITTSBURG

Pharmacy Address

COMMUNITY HEALTH CENTER OF SOUTHEAST KAN
3011 N MICHIGAN ST
PITTSBURG, KS 66762

Pharmacy Comments

Contract Details

Approval Date

10/8/2013

Contract Begin Date

1/1/2014

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

1/1/2017

Contacts

Covered Entity Signing Official

Jason Wesco, CEO
(913) 433-7583

Contract Pharmacy Representative

Community Health Center of Southeast Kansas
KRISTA POSTAI, CEO
(620) 235-1867

Signed By Date

10/8/2013

340B Drug Pricing Program Database