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WALGREEN CO.
CH063890 MORTON COMPREHENSIVE HEALTH
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Covered Entity Details
Entity Name
MORTON COMPREHENSIVE HEALTH
Subdivision Name
MORTON COMP HLTH SVS TULSA SITE
Type
HRSA-Funded Health Center
340B ID
CH063890
Entity Address
1334 N Lansing Ave
TULSA, OK 74106-5907
Grant Number
H80CS00440
Participating Start Date
12/1/1992
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 04723
11 W TAFT AVE
SAPULPA, OK 74066
Pharmacy Comments
Contract Details
Approval Date
11/20/2017
Contract Begin Date
1/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Susan Savage, CEO
(918) 295-6151
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
11/20/2017
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