340B Drug Pricing Program Database
FAMILY PHARMACY #3
CH0627800 GREAT SALT PLAINS HEALTH CENTER, INC. - information as of 5/15/2025 2:23:57 AM
Covered Entity Details
Entity Name
GREAT SALT PLAINS HEALTH CENTER, INC.
Subdivision Name
Great Salt Plains Health Center
Type
HRSA-Funded Health Center
340B ID
CH0627800
Entity Address
405 S. Oklahoma Ave
Cherokee, OK 73728-2545
Grant Number
H80CS08744
Participating Start Date
4/1/2008
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
FAMILY PHARMACY #3
Pharmacy Address
DIELRX, LLC
221 S 30TH ST
ENID, OK 73701-6455
Pharmacy Comments
Contract Details
Approval Date
4/13/2016
Contract Begin Date
7/1/2016
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
TIM STARKEY, CEO/EXECUTIVE DIRECTOR
(580) 596-2800
Contract Pharmacy Representative
Gregory Diel, Owner
(580) 233-4244
Signed By Date
4/13/2016
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