Contract Pharmacy Details

WALGREEN CO.
CHC24169-00 Health Ministries Clinic, Inc.

Covered Entity Details

Entity Name

Health Ministries Clinic, Inc.

Subdivision Name

Health Ministries Clinic Dental Office

Type

HRSA-Funded Health Center

340B ID

CHC24169-00

Entity Address

805 Medical Center Dr.
Newton, KS 67114

Grant Number

H80CS24169

Participating Start Date

1/1/2014

Last Recertification Date

3/3/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS # 05769
3333 E CENTRAL AVE
WICHITA, KS 67208-3121

Pharmacy Comments

Contract Details

Approval Date

4/12/2016

Contract Begin Date

7/1/2016

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Matthew Schmidt, Chief Executive Officer
(316) 281-7314

Contract Pharmacy Representative

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

Signed By Date

4/12/2016

340B Drug Pricing Program Database