Contract Pharmacy Details

JIMMY EVEREST CANCER CTR PHARMACY
HM8413 UNIVERSITY OF OKLAHOMA HEALTH SCIENCE DBA OKLAHOMA CENTER FOR BLEEDING DISORDERS

Covered Entity Details

Entity Name

UNIVERSITY OF OKLAHOMA HEALTH SCIENCE DBA OKLAHOMA CENTER FOR BLEEDING DISORDERS

Subdivision Name

Type

Comprehensive Hemophilia Treatment Center

340B ID

HM8413

Entity Address

1200 Children Ave A2
14712
OKLAHOMA CITY, OK 73104

Grant Number

H30MC24051

Participating Start Date

1/1/2007

Last Recertification Date

2/28/2025

Pharmacy Details

Pharmacy Name

JIMMY EVEREST CANCER CTR PHARMACY

Pharmacy Address

1200 CHILDRENS AVE RM 7303
OKLAHOMA CITY, OK 73104

Pharmacy Comments

Contract Details

Approval Date

7/14/2017

Contract Begin Date

10/1/2017

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

7/28/2023
Ownership change

Contacts

Covered Entity Signing Official

Scott Davis, ASSOCIATE DIRECTOR, OFFICE OF RESEARCH ADMINISTRATION
(405) 271-2090

Contract Pharmacy Representative

Board of Regents of the University of Oklahoma
Brian Wesley, Pharmacist
(405) 271-1047

Signed By Date

7/14/2017

340B Drug Pricing Program Database