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COUCH PHARMACY
STD74135 Health Outreach Prevention Education, Inc (H.O.P.E.)
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Covered Entity Details
Entity Name
Health Outreach Prevention Education, Inc (H.O.P.E.)
Subdivision Name
Tulsa
Type
Sexually Transmitted Diseases
340B ID
STD74135
Entity Address
4720 E 51st Street
Tulsa, OK 74135
Grant Number
NH25PS005143
Participating Start Date
10/1/2021
Last Recertification Date
5/8/2024
Pharmacy Details
Pharmacy Name
COUCH PHARMACY
Pharmacy Address
NRF, INC
444 S SHERIDAN RD
TULSA, OK 74112
Pharmacy Comments
Contract Details
Approval Date
4/8/2022
Contract Begin Date
7/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Taryn Norman, Executive Director
(918) 749-8378
Contract Pharmacy Representative
Elite Analytics Group, Inc
Rex Green, CEO
(469) 899-2293
Signed By Date
4/8/2022
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