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RELIANT MEDICAL LLC DBA RELIANT HEALTHCA
CHC24167-01 RICHLAND, PARISH OF
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Covered Entity Details
Entity Name
RICHLAND, PARISH OF
Subdivision Name
Delhi Community Health Center SBHC Mobile Dental Services
Type
HRSA-Funded Health Center
340B ID
CHC24167-01
Entity Address
501 Broadway Street
Delhi, LA 71232-2838
Grant Number
H80CS24167
Participating Start Date
10/1/2014
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
RELIANT MEDICAL LLC DBA RELIANT HEALTHCA
Pharmacy Address
1004 N 19TH ST
MONROE, LA 71201-5734
Pharmacy Comments
11/15/10 UPDATED ADDR (WAS 300 N. STANLEY);
Contract Details
Approval Date
10/14/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Barbara Hutchinson, CEO
(318) 878-6650
Contract Pharmacy Representative
Reliant Healthcare
Brad Smith, CEO
(318) 322-8326
Signed By Date
10/14/2019
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