340B Drug Pricing Program Database
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CH063620 Variety Care (Active)
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Main Details
Name
Variety Care
Subdivision Name
Variety Care - Straka Family Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-000950
340B ID
CH063620
Grant Number
H80CS00543
Additional Details
Current Program Status
Active
Registration Date
10/1/2000
Participating Start Date
10/1/2000
Participating Approval Date
1/8/2010
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
1025 Straka Ter
Oklahoma City, OK 73139-2544
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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1/8/10 - NEW SUBDIV NAME; 9/4/07 - NAME & ADDRESS CHANGE WAS: SOUTHEAST AREA HEALTH CENTER, 744 SE 25TH, OKLAHOMA CITY, OK 73129
01/08/2010
May 2025
May 2025
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