340B Drug Pricing Program Database

Name

Fulcrum Clinic LLC

Subdivision Name

Fulcrum Health & Wellness

Type

Sexually Transmitted Diseases

340B ID

STD73159

Grant Number

NH25PS005143-04-02

Nature of Support
Please Describe the “in-kind” Support
Time period section 318 funding or in-kind support was received

In-Kind products or services (see note below; must have been purchased with section 318 funds)
Note: In-kind contributions may be in the form of real property, equipment, supplies and other expendable property, and goods and services directly benefiting and specifically identifiable to the project or program.
HIV Test Kits, Condoms and STD Education Materials
7/1/2022

Current Program Status

Active

Registration Date

7/8/2022

Participating Start Date

10/1/2022

Participating Approval Date

7/27/2022

Last Recertification Date

5/8/2024

Notice of Funding Opportunity (NOFO) Number

PS19-1901

Authorizing Official

Fulcrum Health & Wellness
Sonya Diane Fergeson, Owner/Office Manager
(405) 546-7888

Primary Contact

Fulcrum Clinic
Mark Glenndon Fergeson, APRN
(405) 546-7888

Street Address

1601 SW 89th St
D 100
Oklahoma City, OK 73159

Billing Address
Same as Street Address