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VAUGHANS CITY DRUG CO OF CONC
CH062235C Tensas Community Health Center
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Covered Entity Details
Entity Name
Tensas Community Health Center
Subdivision Name
Tensas School-Based Health Center
Type
HRSA-Funded Health Center
340B ID
CH062235C
Entity Address
720 Plank Road
Saint Joseph, LA 71366
Grant Number
H80CS06450
Participating Start Date
10/1/2018
Last Recertification Date
2/20/2025
Pharmacy Details
Pharmacy Name
VAUGHANS CITY DRUG CO OF CONC
Pharmacy Address
109 EE WALLACE BLVD N
FERRIDAY, LA 71334
Pharmacy Comments
Contract Details
Approval Date
8/24/2018
Contract Begin Date
10/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
JACQUELINE D. SCHAUF, CEO/EXECUTIVE DIRECTOR
(318) 766-1967
Contract Pharmacy Representative
Vaughan's City Drug Company of Concordia, Inc.
Chris Vaughan, POC
(318) 757-4811
Signed By Date
7/16/2018
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