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WALGREEN CO.
CH0612740 NORTHEASTERN OKLAHOMA COMMUNITY HEALTH CENTERS, INC.
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Covered Entity Details
Entity Name
NORTHEASTERN OKLAHOMA COMMUNITY HEALTH CENTERS, INC.
Subdivision Name
NE OK COMMUNITY HLTH CENTERS
Type
HRSA-Funded Health Center
340B ID
CH0612740
Entity Address
124 E Main St
Hulbert, OK 74441-8902
Grant Number
H80CS00848
Participating Start Date
1/1/2004
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA WALGREENS SPECIALTY PHARMACY #16556
1611 E. 15TH ST.
TULSA, OK 74120
Pharmacy Comments
Contract Details
Approval Date
7/2/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Crystal Steed, Chief Operations Officer
(918) 772-3390
Contract Pharmacy Representative
Walgreens
Brenda Motley, Operations Analyst
(847) 964-7033
Signed By Date
7/2/2024
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