340B Drug Pricing Program Database
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CH06362Y Variety Care, Inc. (Active)
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Main Details
Name
Variety Care, Inc.
Subdivision Name
Variety Care - Putnam North
Type
HRSA-Funded Health Center
Site ID
BPS-H80-035189
340B ID
CH06362Y
Grant Number
H80CS00543
Additional Details
Current Program Status
Active
Registration Date
8/17/2023
Participating Start Date
10/1/2023
Participating Approval Date
8/18/2023
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
11220 N Rockwell Ave
Oklahoma City, OK 73162-2725
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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May 2025
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