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ERNIE'S PHARMACY & WELLNESS CENTER, INC.
CHC12887-00 ARKANSAS VERDIGRIS VALLEY HEALTH CENTERS INC
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Covered Entity Details
Entity Name
ARKANSAS VERDIGRIS VALLEY HEALTH CENTERS INC
Subdivision Name
Arkansas Verdgris Valley Health Center
Type
HRSA-Funded Health Center
340B ID
CHC12887-00
Entity Address
505 S Main
Porter, OK 74454-0334
Grant Number
H80CS12887
Participating Start Date
4/1/2011
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
ERNIE'S PHARMACY & WELLNESS CENTER, INC.
Pharmacy Address
410 S 32ND ST
MUSKOGEE, OK 74401-5007
Pharmacy Comments
Contract Details
Approval Date
7/14/2020
Contract Begin Date
10/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Sonya Smith, Chief Executive Officer
(918) 483-0111
Contract Pharmacy Representative
Ernie's Pharmacy
Niki Sykora, Pharmacist
(918) 683-0611
Signed By Date
7/14/2020
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