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WALGREEN CO.
CH070270 SWOPE HEALTH SERVICES
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Covered Entity Details
Entity Name
SWOPE HEALTH SERVICES
Subdivision Name
SWOPE HEALTH SERVICES CENTRAL
Type
HRSA-Funded Health Center
340B ID
CH070270
Entity Address
3801 Dr. Martin Luther King Jr. Blvd, Kansas City, MO 64130
Kansas City, MO 64130-2807
Grant Number
H80CS00599
Participating Start Date
12/1/1992
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 04204
401 NE BARRY ROAD
KANSAS CITY, MO 64155
Pharmacy Comments
Contract Details
Approval Date
1/14/2016
Contract Begin Date
4/1/2016
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Dave Barber, PRESIDENT/CEO
(816) 599-5550
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/14/2016
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