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ASPCARES
STD73103 Community Nursing Center of Oklahoma City, LLC dba Diversity Family Health
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Covered Entity Details
Entity Name
Community Nursing Center of Oklahoma City, LLC dba Diversity Family Health
Subdivision Name
Shartel Towers Site
Type
Sexually Transmitted Diseases
340B ID
STD73103
Entity Address
1211 N Shartel
Suite 300 & 606
Oklahoma City, OK 73103
Grant Number
NH25PS005143
Participating Start Date
4/1/2020
Last Recertification Date
5/9/2024
Pharmacy Details
Pharmacy Name
ASPCARES
Pharmacy Address
2655 NW 20TH ST
MIAMI, FL 33142-7105
Pharmacy Comments
Contract Details
Approval Date
3/3/2020
Contract Begin Date
4/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
5/1/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Russell Ryan Rooms, Director
(405) 848-0026
Contract Pharmacy Representative
Elite Analytics Group, Inc
Rex Green, CEO
(469) 899-2293
Signed By Date
1/7/2020
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