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CHICKASHA CLINIC PHARMACY, LLC
CHC12883-00 SOUTH CENTRAL MEDICAL & RESOURCE CENTER
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Covered Entity Details
Entity Name
SOUTH CENTRAL MEDICAL & RESOURCE CENTER
Subdivision Name
South Central Medical and Resource Center
Type
HRSA-Funded Health Center
340B ID
CHC12883-00
Entity Address
216 S Main St
Lindsay, OK 73052-5634
Grant Number
H80CS12883
Participating Start Date
1/1/2009
Last Recertification Date
2/17/2025
Pharmacy Details
Pharmacy Name
CHICKASHA CLINIC PHARMACY, LLC
Pharmacy Address
2224 W IOWA AVE
CHICKASHA, OK 73018-2738
Pharmacy Comments
Contract Details
Approval Date
1/8/2020
Contract Begin Date
4/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Lacy Curry, CEO
(405) 756-4605 Ext: 4057561414
Contract Pharmacy Representative
Bayless Drug
Jack Justice, President
(580) 759-3213
Signed By Date
1/8/2020
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