Pharmacy Details

OKLAHOMA CVS PHARMACY, L.L.C. - information as of 4/25/2025 6:55:08 PM

Name
OKLAHOMA CVS PHARMACY, L.L.C.

Address

DBA: CVS/PHARMACY # 08312
201 S. MUSTANG RD.
YUKON, OK 73099

Comments

Contracts
History

Contracts

Contract Detail	340B ID	Entity Name	Sub Name	Entity Type	Address	Address Cont.	City	State	Begin Date	Term Date	Edit Date
Details	CH063620	Variety Care	Variety Care - Straka Family Health Center	HRSA-Funded Health Center	1025 Straka Ter		Oklahoma City	OK	10/01/2021		10/1/2021 12:01 AM
Details	DSH370028	INTEGRIS BAPTIST MEDICAL CENTER		Disproportionate Share Hospital	3300 NW EXPRESSWAY		OKLAHOMA CITY	OK	07/01/2013	02/19/2016	12/12/2016 1:08 PM
Details	DSH370028	INTEGRIS BAPTIST MEDICAL CENTER		Disproportionate Share Hospital	3300 NW EXPRESSWAY		OKLAHOMA CITY	OK	07/01/2022	02/15/2024	2/15/2024 9:12 PM
Details	DSH370094	SSM Health St Anthony Hospital - Midwest		Disproportionate Share Hospital	2825 Parklawn Dr		MIDWEST CITY	OK	04/01/2025		4/1/2025 12:01 AM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	Comments	Insert				3/28/2013 4:24 PM
Details	Is Deleted	Insert			False	3/28/2013 4:24 PM
Addresses	Pharmacy Address	Insert			OKLAHOMA CVS PHARMACY, L.L.C. DBA: CVS/PHARMACY # 08312 201 S. MUSTANG RD. YUKON, OK 73099	3/28/2013 4:24 PM
Details	Name	Insert			OKLAHOMA CVS PHARMACY, L.L.C.	3/28/2013 4:24 PM