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ECONOMY PHARMACY ST. FRANCIS
DSH370091 Saint Francis Hospital
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Covered Entity Details
Entity Name
Saint Francis Hospital
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH370091
Entity Address
6161 South Yale Avenue
Tulsa, OK 74136
Medicare Provider Number
370091
Participating Start Date
4/1/2012
Last Recertification Date
8/15/2024
Pharmacy Details
Pharmacy Name
ECONOMY PHARMACY ST. FRANCIS
Pharmacy Address
6585 S YALE AVE STE 102
TULSA, OK 74136-8384
Pharmacy Comments
Contract Details
Approval Date
10/14/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/31/2022
Pharmacy closed
Contacts
Covered Entity Signing Official
Eric Schick, Senior Vice President - Chief Financial Officer
(918) 494-8430
Contract Pharmacy Representative
Economy Pharmacy, Inc.
Chris Schiller, Chief Executive Officer
(918) 348-1651
Signed By Date
10/14/2019
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