340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
MCCORTNEY FAMILY PHARMACY & COMPOUNDING
CH06393B CENTRAL OKLAHOMA FAMILY MEDICAL CENTER, INC.
Print
Covered Entity Details
Entity Name
CENTRAL OKLAHOMA FAMILY MEDICAL CENTER, INC.
Subdivision Name
Central Oklahoma Family Medical Center - Ada
Type
HRSA-Funded Health Center
340B ID
CH06393B
Entity Address
1221 Arlington Street
B
Ada, OK 74820-4067
Grant Number
H80CS00757
Participating Start Date
7/1/2016
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
MCCORTNEY FAMILY PHARMACY & COMPOUNDING
Pharmacy Address
BRODERICK ENTERPRISES, LLC
711 E 9TH ST
ADA, OK 74820-3807
Pharmacy Comments
Contract Details
Approval Date
4/9/2019
Contract Begin Date
7/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Brenda Ware, CEO
(580) 925-3286 Ext: 227
Contract Pharmacy Representative
Broderick Enterprises
Zack Broderick, President
(580) 332-3344
Signed By Date
4/9/2019
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session