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DILLONS PHARMACY #5
CH07463A UNITED METHODIST WESTERN KANSAS MEXICAN-AMERICAN MINISTRIES, INC.
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Covered Entity Details
Entity Name
UNITED METHODIST WESTERN KANSAS MEXICAN-AMERICAN MINISTRIES, INC.
Subdivision Name
Genesis Family Health Care Center & Medical Clinic
Type
HRSA-Funded Health Center
340B ID
CH07463A
Entity Address
712A Saint John St
Garden City, KS 67846-5128
Grant Number
H80CS00838
Participating Start Date
7/1/1998
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
DILLONS PHARMACY #5
Pharmacy Address
1305 E KANSAS AVE
GARDEN CITY, KS 67846
Pharmacy Comments
Contract Details
Approval Date
1/12/2015
Contract Begin Date
4/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2019
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Julie K. Wright, CEO
(620) 275-1766
Contract Pharmacy Representative
Kroger
Mike Puccini, New Business Development Manager
(513) 762-4672
Signed By Date
1/12/2015
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