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HUGO EXPRESS PHARMACY LLC
CH061193B KIAMICHI FAMILY MEDICAL CENTER
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Covered Entity Details
Entity Name
KIAMICHI FAMILY MEDICAL CENTER
Subdivision Name
Kiamichi Family Medical Center
Type
HRSA-Funded Health Center
340B ID
CH061193B
Entity Address
3004 E. Jackson St.
Hugo, OK 74743
Grant Number
H80CS00267
Participating Start Date
7/1/2016
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
HUGO EXPRESS PHARMACY LLC
Pharmacy Address
DBA HUGO EXPRESS PHARMACY
1200 E JACKSON
HUGO, OK 74743
Pharmacy Comments
Contract Details
Approval Date
10/14/2024
Contract Begin Date
1/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Amy Gilbreath, CEO
(580) 286-6688
Contract Pharmacy Representative
Baker Pharmacy
Ryan Jay Ritter, Owner
(580) 298-6223
Signed By Date
10/14/2024
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