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CH06362B Variety Care, Inc. (Active)
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Main Details
Name
Variety Care, Inc.
Subdivision Name
Variety Care - Ft. Cobb Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-002486
340B ID
CH06362B
Grant Number
H80CS00543
Additional Details
Current Program Status
Active
Registration Date
11/17/2009
Participating Start Date
1/1/2010
Participating Approval Date
12/3/2009
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
Variety Care, Inc.
LOU CARMICHAEL, CEO
(405) 636-1675
Primary Contact
Variety Care
Mickey Phan, Director of Pharmacy
(405) 632-6688 Ext: 10150
Addresses
Street Address
111 W. MAIN STREET
FT. COBB, OK 73038-0000
Billing Address
Variety Care
3000 N GRAND BLVD
OKLAHOMA CITY, OK 73107-1818
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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1/31/14 Address was updated to 111 W. Main Street on 9/24/13, reversed back to 307 Main Street on 1/31/14; 1/8/10 - NEW SUBDIV NAME
01/31/2014
1/8/10 - NEW SUBDIV NAME
04/16/2010
May 2025
May 2025
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