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Get DOCUMENTATION NEEDED WITH COMPLETED Rx APPLICATION

Om Social Security (if applicable) 30 day Income Verification (Check stubs, Social Security income letter, etc.) SoonerCare (Medicaid) Denial Letter (if applicable) Korie Asenap, Program Coordinator Community Action Development Corporation 105 S. Main/PO Box 989 Frederick, OK 73542 Phone: 580-335-5588/1-866-511-0938 Toll Free: 877-794-6552 Email: rxfrederick pldi.net For faster service, please call for an appointment! Korie Asenap, Program Coordinator Community Action Development Corporation.

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