Pharmacy Details

RX SHOPPE - information as of 5/20/2025 1:57:13 AM

Name
RX SHOPPE

Address

872 W 13TH ST.
ATOKA, OK 74525

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	CAH371319-00	COAL COUNTY		Critical Access Hospital	6 NORTH COVINGTON		COALGATE	OK	07/01/2019		7/1/2019 12:05 AM
Details	CH0614360	FAMILY HEALTH CENTER OF SOUTHERN OKLAHOMA	FAMILY HEALTH CENTER OF SOUTHERN OKLAHOMA	HRSA-Funded Health Center	610 E. 24TH STREET		TISHOMINGO	OK	07/01/2013	08/22/2022	8/31/2022 9:09 AM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Pharmacy Address	Insert			RX SHOPPE 872 W 13TH ST. ATOKA, OK 74525	3/30/2018 9:13 AM
Addresses	Pharmacy Address	Insert			RX SHOPPE 1002 W. 13TH ATOKA, OK 74525	9/29/2017 6:44 AM
Details	Comments	Insert				3/28/2013 4:24 PM
Details	Is Deleted	Insert			False	3/28/2013 4:24 PM
Addresses	Pharmacy Address	Insert			RX SHOPPE 1002 W. 13TH ATOKA, OK 74525	3/28/2013 4:24 PM
Details	Name	Insert			RX SHOPPE	3/28/2013 4:24 PM