340B Drug Pricing Program Database
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DSH190098AX University Health Shreveport, LLC (Active)
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Main Details
Name
University Health Shreveport, LLC
Subdivision Name
Echo Lab OLSH KH02 / OLSH DCI ECHOCARDIOGRAPHY - ECHOCARDIOGRAPHY
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH190098AX
Medicare Provider Number
190098
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/13/2023
Participating Start Date
7/1/2023
Participating Approval Date
5/8/2023
Last Recertification Date
9/5/2024
Contacts
Authorizing Official
Ochsner LSU
Christopher Eric Mangin, CEO
(318) 205-2245
Primary Contact
BRFHH Shreveport LLC
Jason D Lafitte, Director of Pharmacy
(318) 626-0863
Addresses
Street Address
1322 Kings Highway
Shreveport, LA 71103
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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