340B Drug Pricing Program Database


CLINIC PHARMACY - information as of 5/16/2025 12:59:09 AM


CLINIC PHARMACY

PICKETT'S CLINIC PHARMACY, INC
205 S PARK LANE STE 110
ALTUS, OK 73521-5733



  • Contracts
  • History
Contracts
Contract Detail340B IDEntity NameSub NameEntity TypeAddressAddress Cont.CityStateBegin DateTerm DateEdit Date
DetailsSCH370022-00JACKSON COUNTY MEMORIAL HOSPITAL Sole Community Hospital1200 EAST PECAN
ALTUSOK04/01/2015 10/20/2016 5:44 PM
DetailsSCH370022-01JACKSON COUNTY MEMORIAL HOSPITALHOSPICE / JACKSON COUNTY MEMORIAL HOSPITAL HOSPICESole Community Hospital1204 E TAMARACK RD JACKSON COUNTY MEMORIAL HOSPITAL HOSPICE
ALTUSOK04/01/2015 10/20/2016 5:44 PM
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
AddressesPharmacy AddressInsert  CLINIC PHARMACY PICKETT'S CLINIC PHARMACY, INC 205 S PARK LANE STE 110 ALTUS, OK 73521-57332/5/2021 10:46 AM
AddressesPharmacy AddressInsert  CLINIC PHARMACY 205 S PARK LANE SUITE 110 ALTUS, OK 73521-57339/29/2017 6:44 AM
AddressesPharmacy AddressUpdate CLINIC PHARMACY 205 S PARK LANE ALTUS, OK 73521-5733CLINIC PHARMACY 205 S PARK LANE SUITE 110 ALTUS, OK 73521-57333/28/2013 4:24 PM
DetailsCommentsInsert   3/28/2013 4:24 PM
DetailsIs DeletedInsert  False3/28/2013 4:24 PM
AddressesPharmacy AddressInsert  CLINIC PHARMACY 205 S PARK LANE ALTUS, OK 73521-57333/28/2013 4:24 PM
DetailsNameInsert  CLINIC PHARMACY3/28/2013 4:24 PM