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CH06018L TECHE ACTION BOARD (Active)
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Main Details
Name
TECHE ACTION BOARD
Subdivision Name
Teche Action Clinic @ West St. John Elementary
Type
HRSA-Funded Health Center
Site ID
BPS-H80-018205
340B ID
CH06018L
Grant Number
H80CS00767
Additional Details
Current Program Status
Active
Registration Date
10/11/2023
Participating Start Date
1/1/2024
Participating Approval Date
10/18/2023
Last Recertification Date
2/28/2025
Contacts
Authorizing Official
Teche Action Board, Inc
Nikina Vilcan, CFO
(337) 828-2550 Ext: 2146
Primary Contact
Teche Action Clinic
Paul Hoang, Pharmacist
(337) 828-2550 Ext: 2150
Addresses
Street Address
2555 La Hwy 18
Edgard, LA 70049-2417
Billing Address
Teche Action Clinic
1115 Weber Street
Franklin, LA 70538
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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