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WOODLAKES PHARMACY
CH060530 Community Health Centers Inc.
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Covered Entity Details
Entity Name
Community Health Centers Inc.
Subdivision Name
COMMUNITY HEALTH CENTERS, INC.
Type
HRSA-Funded Health Center
340B ID
CH060530
Entity Address
12716 N.E. 36TH STREET
OKLAHOMA CITY, OK 73140-3589
Grant Number
H80CS00320
Participating Start Date
10/1/2017
Last Recertification Date
3/5/2025
Pharmacy Details
Pharmacy Name
WOODLAKES PHARMACY
Pharmacy Address
525 WOODLAND SQUARE BLVD STE 170
SUITE 170
CONROE, TX 77384-2212
Pharmacy Comments
Contract Details
Approval Date
1/27/2021
Contract Begin Date
4/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/30/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Isabella Lawson, Chief Executive Officer
(405) 769-3301 Ext: 1232
Contract Pharmacy Representative
Elite Analytics Group
Rex Green, CEO
(405) 203-7628
Signed By Date
1/27/2021
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