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CONSUMER'S PHARMACY INC
CHC08772-10 GRACEMED HEALTH CLINIC, INC.
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Covered Entity Details
Entity Name
GRACEMED HEALTH CLINIC, INC.
Subdivision Name
GraceMed COMCARE Clinic
Type
HRSA-Funded Health Center
340B ID
CHC08772-10
Entity Address
1919 N. Amidon, Suite 100
Wichita, KS 67203-2118
Grant Number
H80CS08772
Participating Start Date
7/1/2016
Last Recertification Date
2/14/2025
Entity Termination Date
7/1/2025
Pharmacy Details
Pharmacy Name
CONSUMER'S PHARMACY INC
Pharmacy Address
1035 N EMPORIA AVE STE 170
WICHITA, KS 67214-2938
Pharmacy Comments
Contract Details
Approval Date
4/11/2016
Contract Begin Date
7/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2025
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Edward Lee Boyd, Owner
(316) 263-6233
Signed By Date
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