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WALGREEN CO.
CHC28966-00 KANSAS CITY CARE CLINIC
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Covered Entity Details
Entity Name
KANSAS CITY CARE CLINIC
Subdivision Name
KC CARE Clinic - Meyer
Type
HRSA-Funded Health Center
340B ID
CHC28966-00
Entity Address
2340 E. Meyer Blvd
200
Kansas City, MO 64132
Grant Number
H80CS28966
Participating Start Date
1/1/2016
Last Recertification Date
3/5/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA WALGREENS SPECIALTY PHARMACY #16072
3537 BROADWAY BLVD
KANSAS CITY, MO 64111
Pharmacy Comments
Contract Details
Approval Date
1/15/2016
Contract Begin Date
4/1/2016
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Kevin Thorpe, COO
(816) 777-2765
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/15/2016
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