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CH06362P VARIETY CARE, INC. (Terminated)
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Main Details
Name
VARIETY CARE, INC.
Subdivision Name
Variety Care at Capitol Hill High School
Type
HRSA-Funded Health Center
Site ID
BPS-H80-012693
340B ID
CH06362P
Grant Number
H80CS00543
Additional Details
Current Program Status
Terminated
Registration Date
4/14/2016
Participating Start Date
7/1/2016
Participating Approval Date
4/25/2016
Last Recertification Date
2/12/2018
Termination Date
Termination Reason
4/1/2019
Site closure
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
500 SW 36th Street
Oklahoma City, OK 73109-6614
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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