340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WAL-MART PHARMACY 10-0162
CH06362H Variety Care, Inc.
Print
Covered Entity Details
Entity Name
Variety Care, Inc.
Subdivision Name
Variety Care Pediatric Center on North Portland
Type
HRSA-Funded Health Center
340B ID
CH06362H
Entity Address
5320 N. Portland Ave.
Oklahoma City, OK 73112-2098
Grant Number
H80CS00543
Participating Start Date
4/1/2011
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
10/15/2020
Contract Begin Date
1/1/2021
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
10/15/2020
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