Contract Pharmacy Details

OKLAHOMA CVS PHARMACY, L.L.C.
CH060530 Community Health Centers Inc.

Covered Entity Details

Entity Name

Community Health Centers Inc.

Subdivision Name

COMMUNITY HEALTH CENTERS, INC.

Type

HRSA-Funded Health Center

340B ID

CH060530

Entity Address

12716 N.E. 36TH STREET
OKLAHOMA CITY, OK 73140-3589

Grant Number

H80CS00320

Participating Start Date

10/1/2017

Last Recertification Date

3/5/2025

Pharmacy Details

Pharmacy Name

OKLAHOMA CVS PHARMACY, L.L.C.

Pharmacy Address

CVS PHARMACY # 17149
7305 SE 29TH ST
MIDWEST CITY, OK 73110

Pharmacy Comments

Contract Details

Approval Date

10/22/2024

Contract Begin Date

1/1/2025

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

4/20/2025
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

Isabella Lawson, Chief Executive Officer
(405) 769-3301 Ext: 1232

Contract Pharmacy Representative

CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782

Signed By Date

10/22/2024

340B Drug Pricing Program Database