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PROFESSIONAL PHARMACY
URB5038 HUNTER HEALTH CLINIC, INC.
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Covered Entity Details
Entity Name
HUNTER HEALTH CLINIC, INC.
Subdivision Name
Type
Urban Indian
340B ID
URB5038
Entity Address
527 N Grove
Wichita, KS 67214
Grant Number
Participating Start Date
12/1/1992
Last Recertification Date
2/24/2025
Pharmacy Details
Pharmacy Name
PROFESSIONAL PHARMACY
Pharmacy Address
401 N WACO ST
WICHITA, KS 67202
Pharmacy Comments
Contract Details
Approval Date
4/6/2016
Contract Begin Date
7/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/12/2018
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Amy Feimer, CEO
(316) 262-3611 Ext: 1111
Contract Pharmacy Representative
POSITIVE DIRECTIONS INC
Emily Blew, Pharmacist
(316) 263-5218
Signed By Date
4/6/2016
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