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PHYSICIANS RX PHARMACY OF CLINTON, INC.
HV00140 Southwest Boulevard Family Health Care
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Covered Entity Details
Entity Name
Southwest Boulevard Family Health Care
Subdivision Name
Type
Ryan White Part C
340B ID
HV00140
Entity Address
340 Southwest Boulevard
Kansas City, KS 66103
Grant Number
H76HA00140
Participating Start Date
1/1/2013
Last Recertification Date
2/25/2019
Entity Termination Date
4/1/2020
Pharmacy Details
Pharmacy Name
PHYSICIANS RX PHARMACY OF CLINTON, INC.
Pharmacy Address
PHYSICIANS RX PHARMACY CLINTON
9131 PISCATAWAY ROAD
SUITE 670
CLINTON, MD 20735
Pharmacy Comments
Contract Details
Approval Date
4/2/2015
Contract Begin Date
7/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2020
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Kevin Dennis, Program Administrator
(913) 722-3100
Contract Pharmacy Representative
Donald Smith, CEO
(301) 477-3367
Signed By Date
4/2/2015
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