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1893 PHARMACY
RWIIR73104 OKLAHOMA STATE DEPARTMENT OF HEALTH HIV INSURANCE ASSISTANCE PROGRAM
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Covered Entity Details
Entity Name
OKLAHOMA STATE DEPARTMENT OF HEALTH HIV INSURANCE ASSISTANCE PROGRAM
Subdivision Name
Type
Ryan White Part B ADAP Rebate Option
340B ID
RWIIR73104
Entity Address
901 N. Stonewall Ave.
1200
Oklahoma City, OK 73117
Grant Number
X07HA00048
Participating Start Date
7/1/2006
Last Recertification Date
2/24/2025
Pharmacy Details
Pharmacy Name
1893 PHARMACY
Pharmacy Address
BOARD OF REGENTS OF THE UNIVERSITY OF OK
901 N STONEWALL AVE STE 1200
OKLAHOMA CITY, OK 73117
Pharmacy Comments
Contract Details
Approval Date
2/13/2023
Contract Begin Date
4/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Marcia Castellanos-Aymat, Nursing Services Coordinator
(405) 615-5403
Contract Pharmacy Representative
OUHSC
Jay Kinnard, Pharmacist in Charge
(405) 271-8931 Ext: 33896
Signed By Date
2/13/2023
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