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ROY'S DISCOUNT PHARMACY, LLC
CH0619510 STIGLER HEALTH AND WELLNESS CENTER, INC
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Covered Entity Details
Entity Name
STIGLER HEALTH AND WELLNESS CENTER, INC
Subdivision Name
HWC - Stigler
Type
HRSA-Funded Health Center
340B ID
CH0619510
Entity Address
1505 E. MAIN STREET
STIGLER, OK 74462
Grant Number
H80CS04286
Participating Start Date
4/1/2005
Last Recertification Date
2/20/2025
Pharmacy Details
Pharmacy Name
ROY'S DISCOUNT PHARMACY, LLC
Pharmacy Address
621 HIGHWAY 2 N
WILBURTON, OK 74578-3620
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
TERESA HUGGINS, CEO
(918) 967-4828
Contract Pharmacy Representative
Roy's Discount Pharmacy
Tawnee Taylor, Owner
(918) 465-0111
Signed By Date
4/15/2019
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