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CLINIC PHARMACY
CHC28971-01 PANHANDLE COUNSELING AND HEALTH CENTER, INC.
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Covered Entity Details
Entity Name
PANHANDLE COUNSELING AND HEALTH CENTER, INC.
Subdivision Name
Panhandle Counseling and Health Center Clinic
Type
HRSA-Funded Health Center
340B ID
CHC28971-01
Entity Address
3247 US Highway 54
Guymon, OK 73942
Grant Number
H80CS28971
Participating Start Date
4/1/2016
Last Recertification Date
1/30/2023
Entity Termination Date
10/1/2023
Pharmacy Details
Pharmacy Name
CLINIC PHARMACY
Pharmacy Address
1210 N LELIA ST
P O BOX 1590
GUYMON, OK 73942-3647
Pharmacy Comments
Contract Details
Approval Date
10/25/2016
Contract Begin Date
1/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2023
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Sarah Wagner, CEO
(580) 338-0072
Contract Pharmacy Representative
Clinic Pharmacy
Chelle Melton, Owner/DPh
(580) 338-3339
Signed By Date
10/25/2016
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