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PEOPLES DRUG STORE
CHC28964-03 START CORPORATION
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Covered Entity Details
Entity Name
START CORPORATION
Subdivision Name
Start CHC- Covington
Type
HRSA-Funded Health Center
340B ID
CHC28964-03
Entity Address
1505 North Florida St.
Covington, LA 70433-1544
Grant Number
H80CS28964
Participating Start Date
4/1/2019
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
PEOPLES DRUG STORE
Pharmacy Address
7869 MAIN ST
HOUMA, LA 70360
Pharmacy Comments
Contract Details
Approval Date
10/9/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Catherine Broussard, QA/Compliance Officer
(985) 333-2020 Ext: 2005
Contract Pharmacy Representative
Peoples Drug Store
Susan Brunet, Owner
(985) 873-8526
Signed By Date
10/9/2019
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