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OU PHARMACISTS CARE CENTER
RWIID731171 Oklahoma State Department of Health
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Covered Entity Details
Entity Name
Oklahoma State Department of Health
Subdivision Name
Sexual Health & Harm Reduction Service (HIV/STD Service)
Type
Ryan White Part B ADAP Direct Purchase
340B ID
RWIID731171
Entity Address
123 Robert S Kerr
1702
Oklahoma City, OK 73102
Grant Number
X07HA00048
Participating Start Date
10/1/1998
Last Recertification Date
2/24/2025
Pharmacy Details
Pharmacy Name
OU PHARMACISTS CARE CENTER
Pharmacy Address
825 NE 10TH ST STE 2A
OKLAHOMA CITY, OK 73104-5417
Pharmacy Comments
Contract Details
Approval Date
2/1/2003
Contract Begin Date
2/1/2003
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/31/2023
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
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