340B Drug Pricing Program Database
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DSH190046X TOURO INFIRMARY (Active)
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Main Details
Name
TOURO INFIRMARY
Subdivision Name
CCPI INTERNAL MEDICINE
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH190046X
Medicare Provider Number
190046
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/14/2016
Participating Start Date
1/1/2017
Participating Approval Date
11/2/2016
Last Recertification Date
9/4/2024
Contacts
Authorizing Official
Touro Infirmary
Candace Robinson, Chief Medical Officer
(504) 897-8246
Primary Contact
Touro Infirmary
Tara Montgomery, Director of Pharmacy
(504) 897-8071 Ext: 7515
Addresses
Street Address
3525 PRYTANIA ST, SUITE 620
620
NEW ORLEANS, LA 70115-8100
Billing Address
Touro Infirmary
1401 Foucher St.
New Orleans, LA 70115
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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