340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
TAHLEQUAH MEDICAL CTR PHARM
CH0612740 NORTHEASTERN OKLAHOMA COMMUNITY HEALTH CENTERS, INC.
Print
Covered Entity Details
Entity Name
NORTHEASTERN OKLAHOMA COMMUNITY HEALTH CENTERS, INC.
Subdivision Name
NE OK COMMUNITY HLTH CENTERS
Type
HRSA-Funded Health Center
340B ID
CH0612740
Entity Address
124 E Main St
Hulbert, OK 74441-8902
Grant Number
H80CS00848
Participating Start Date
1/1/2004
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
TAHLEQUAH MEDICAL CTR PHARM
Pharmacy Address
TMC PHARMACY, INC.
1500 E DOWNING ST STE 106
TAHLEQUAH, OK 74464-3354
Pharmacy Comments
Contract Details
Approval Date
4/15/2016
Contract Begin Date
7/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/15/2021
Ownership change
Contacts
Covered Entity Signing Official
Crystal Steed, Chief Operations Officer
(918) 772-3390
Contract Pharmacy Representative
Dennis Bird, Owner
(918) 456-8811
Signed By Date
4/15/2016
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session