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CH06362G Variety Care, Inc. (Terminated)
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Main Details
Name
Variety Care, Inc.
Subdivision Name
Variety Care Big Pasture Health Center at Grandfield
Type
HRSA-Funded Health Center
Site ID
BPS-H80-010031
340B ID
CH06362G
Grant Number
H80CS00543
Additional Details
Current Program Status
Terminated
Registration Date
1/18/2011
Participating Start Date
4/1/2011
Participating Approval Date
1/31/2011
Last Recertification Date
2/1/2022
Termination Date
Termination Reason
7/1/2022
Other
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
203 W 2nd St
Grandfield, OK 73546
Billing Address
Variety Care
1025 STRAKA TERRACE
OKLAHOMA CITY, OK 73139
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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