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RAZOOK'S DRUG
SCH370049-00 STILLWATER MEDICAL CENTER AUTHORITY
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Covered Entity Details
Entity Name
STILLWATER MEDICAL CENTER AUTHORITY
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH370049-00
Entity Address
1323 W. 6TH Ave
STILLWATER, OK 74074-4306
Medicare Provider Number
370049
Participating Start Date
7/1/2011
Last Recertification Date
8/15/2024
Pharmacy Details
Pharmacy Name
RAZOOK'S DRUG
Pharmacy Address
RAZOOK'S PHARMACY LLC
1518 W 9TH AVE
STILLWATER, OK 74074-5468
Pharmacy Comments
Contract Details
Approval Date
10/5/2012
Contract Begin Date
10/5/2012
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/15/2016
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
ALAN LOVELACE, CHIEF FINANCIAL OFFICER
(405) 742-5729
Contract Pharmacy Representative
Courtney Redding, Owner/Pharmacist
(405) 377-4448
Signed By Date
9/11/2012
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