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CH06362R VARIETY CARE, INC. (Terminated)
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Main Details
Name
VARIETY CARE, INC.
Subdivision Name
Variety Care at OSU-OKC
Type
HRSA-Funded Health Center
Site ID
BPS-H80-018409
340B ID
CH06362R
Grant Number
H80CS00543
Additional Details
Current Program Status
Terminated
Registration Date
1/15/2017
Participating Start Date
4/1/2017
Participating Approval Date
2/16/2017
Last Recertification Date
2/3/2021
Termination Date
Termination Reason
4/1/2022
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
440 N. Portland Ave.
Oklahoma City, OK 73107
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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