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DIVERSITY FAMILY PHARMACY INC
STD741041 Community Nursing Center of Oklahoma City DBA Diversity Family Health
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Covered Entity Details
Entity Name
Community Nursing Center of Oklahoma City DBA Diversity Family Health
Subdivision Name
Diversity Family Health-Tulsa
Type
Sexually Transmitted Diseases
340B ID
STD741041
Entity Address
1822 E15th Street
Suite A
Tulsa, OK 74104
Grant Number
NH25PS005143
Participating Start Date
1/1/2021
Last Recertification Date
5/9/2024
Pharmacy Details
Pharmacy Name
DIVERSITY FAMILY PHARMACY INC
Pharmacy Address
1211 N SHARTEL AVE STE 300A
OKLAHOMA CITY, OK 73103
Pharmacy Comments
Contract Details
Approval Date
7/10/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Russell Ryan Rooms, Director
(405) 848-0026
Contract Pharmacy Representative
Epic Pharmacy
Victor Panara, Pharmacist
(727) 612-4003
Signed By Date
7/10/2023
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