340B Drug Pricing Program Database
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CH06362H Variety Care, Inc. (Active)
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Main Details
Name
Variety Care, Inc.
Subdivision Name
Variety Care Pediatric Center on North Portland
Type
HRSA-Funded Health Center
Site ID
BPS-H80-013431
340B ID
CH06362H
Grant Number
H80CS00543
Additional Details
Current Program Status
Active
Registration Date
1/18/2011
Participating Start Date
4/1/2011
Participating Approval Date
3/3/2011
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
5320 N. Portland Ave.
Oklahoma City, OK 73112-2098
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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April 2025
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