340B Drug Pricing Program Database

Pharmacy Name

SAMARITAN INFUSION SERVICES

Pharmacy Address

3500 N W 56TH, SUITE 201
OKLAHOMA CITY, OK 73112

Pharmacy Comments

Approval Date

10/15/2014

Contract Begin Date

1/1/2015

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

9/5/2019
Pharmacy closed

Covered Entity Signing Official

James D. Moore, President
(405) 636-7690

Contract Pharmacy Representative

INTEGRIS Health
Georg F. Lunday, Chief Pharmacy Officer
(405) 401-4842

Signed By Date

10/15/2014