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WAL-MART PHARMACY 10-0162
CH06362B Variety Care, Inc.
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Covered Entity Details
Entity Name
Variety Care, Inc.
Subdivision Name
Variety Care - Ft. Cobb Health Center
Type
HRSA-Funded Health Center
340B ID
CH06362B
Entity Address
111 W. MAIN STREET
FT. COBB, OK 73038-0000
Grant Number
H80CS00543
Participating Start Date
1/1/2010
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-0162
Pharmacy Address
1201 W. PETREE ROAD
ANADARKO, OK 73005
Pharmacy Comments
Contract Details
Approval Date
4/13/2020
Contract Begin Date
7/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
LOU CARMICHAEL, CEO
(405) 636-1675
Contract Pharmacy Representative
WALMART
Julie Howard, Manager Contracting & Channel Management
(479) 277-1498
Signed By Date
4/13/2020
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