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IOLA PHARMACY
CH07757L COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS, INC.
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Covered Entity Details
Entity Name
COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS, INC.
Subdivision Name
Community Health Center of Southeast Kansas / Iola
Type
HRSA-Funded Health Center
340B ID
CH07757L
Entity Address
2051 N. State Street
Iola, KS 66749-3004
Grant Number
H80CS00841
Participating Start Date
10/1/2013
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
IOLA PHARMACY
Pharmacy Address
109 E MADISON AVE
IOLA, KS 66749-3330
Pharmacy Comments
Contract Details
Approval Date
10/15/2013
Contract Begin Date
1/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/12/2016
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
KRISTA POSTAI, CEO
(620) 235-1867
Contract Pharmacy Representative
Jeff Dieker, Pharmacist
(620) 365-3176
Signed By Date
10/15/2013
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