340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALGREEN CO.
CHC08772-09 GRACEMED HEALTH CLINIC, INC.
Print
Covered Entity Details
Entity Name
GRACEMED HEALTH CLINIC, INC.
Subdivision Name
GraceMed Meyer Family Clinic
Type
HRSA-Funded Health Center
340B ID
CHC08772-09
Entity Address
755 W. Lincoln St.
Wichita, KS 67213
Grant Number
H80CS08772
Participating Start Date
4/1/2016
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 06362
333 W 13TH ST N
WICHITA, KS 67203
Pharmacy Comments
Contract Details
Approval Date
4/7/2016
Contract Begin Date
7/1/2016
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
DAVID C. SANFORD, CEO
(316) 494-2001
Contract Pharmacy Representative
Nick Werth, Analyst, 340B Operations
(847) 964-8648
Signed By Date
4/7/2016
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session