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OKEMAH PHARMACY INC
CHC10583-00 EAST CENTRAL OKLAHOMA FAMILY HEALTH CENTER INC
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Covered Entity Details
Entity Name
EAST CENTRAL OKLAHOMA FAMILY HEALTH CENTER INC
Subdivision Name
East Central Oklahoma Family Health Center, Inc.
Type
HRSA-Funded Health Center
340B ID
CHC10583-00
Entity Address
109 S. Main
Wetumka, OK 74883-4015
Grant Number
H80CS10583
Participating Start Date
4/1/2009
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
OKEMAH PHARMACY INC
Pharmacy Address
106 S WOODY GUTHRIE ST
OKEMAH, OK 74859-4047
Pharmacy Comments
Contract Details
Approval Date
2/15/2013
Contract Begin Date
4/1/2013
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
DONNA DYER, CEO
(405) 452-3151 Ext: 4101
Contract Pharmacy Representative
Elmer Frech, Owner
(918) 623-2510
Signed By Date
1/7/2013
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