340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
Walmart Pharmacy 10-7611
CH06393Q CENTRAL OKLAHOMA FAMILY MEDICAL CENTER INC
Print
Covered Entity Details
Entity Name
CENTRAL OKLAHOMA FAMILY MEDICAL CENTER INC
Subdivision Name
Central Oklahoma Family Medical Center - Seminole II
Type
HRSA-Funded Health Center
340B ID
CH06393Q
Entity Address
2249 Boren Blvd
Seminole, OK 74868-1927
Grant Number
H80CS00757
Participating Start Date
7/1/2023
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
Walmart Pharmacy 10-7611
Pharmacy Address
2501 Perry Rd
Plainfield, IN 46168
Pharmacy Comments
Contract Details
Approval Date
1/15/2025
Contract Begin Date
4/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Brenda Ware, CEO
(580) 925-3286 Ext: 227
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
1/15/2025
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session