340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
CUSHING FAMILY PHARMACY
SCH370049-00 STILLWATER MEDICAL CENTER AUTHORITY
Print
Covered Entity Details
Entity Name
STILLWATER MEDICAL CENTER AUTHORITY
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH370049-00
Entity Address
1323 W. 6TH Ave
STILLWATER, OK 74074-4306
Medicare Provider Number
370049
Participating Start Date
7/1/2011
Last Recertification Date
8/15/2024
Pharmacy Details
Pharmacy Name
CUSHING FAMILY PHARMACY
Pharmacy Address
200 S HIGHLAND AVE
CUSHING, OK 74023
Pharmacy Comments
Contract Details
Approval Date
4/15/2019
Contract Begin Date
7/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
ALAN LOVELACE, CHIEF FINANCIAL OFFICER
(405) 742-5729
Contract Pharmacy Representative
Cushing Family Pharmacy
Jeffrey Stewart, Director of Operations
(405) 334-2907
Signed By Date
4/15/2019
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