340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
HEALTH MART PHARMACY OF LAFAYETTE
RWII70501 ACADIANA CARES
Print
Covered Entity Details
Entity Name
ACADIANA CARES
Subdivision Name
Type
Ryan White Part B
340B ID
RWII70501
Entity Address
809 MARTIN LUTHER KING JR. DRIVE
LAFAYETTE, LA 70501
Grant Number
X07HA00018
Participating Start Date
1/1/2015
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
HEALTH MART PHARMACY OF LAFAYETTE
Pharmacy Address
600 JOHNSTON ST
LAFAYETTE, LA 70501-8060
Pharmacy Comments
Contract Details
Approval Date
10/9/2018
Contract Begin Date
1/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Claude Martin, CEO
(337) 233-2437 Ext: 125
Contract Pharmacy Representative
Health Mart of Lafayette
Kitty L Trahan, COO
(337) 230-1567
Signed By Date
10/9/2018
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session