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REEVES DRUG STORE
CH062235A TENSAS COMMUNITY HEALTH CENTER
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Covered Entity Details
Entity Name
TENSAS COMMUNITY HEALTH CENTER
Subdivision Name
TENSAS COMMUNITY HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH062235A
Entity Address
402 LEVEE STREET
ST. JOSEPH, LA 71366
Grant Number
H80CS06450
Participating Start Date
10/1/2007
Last Recertification Date
2/20/2025
Pharmacy Details
Pharmacy Name
REEVES DRUG STORE
Pharmacy Address
307 CARTER ST
VIDALIA, LA 71373-3305
Pharmacy Comments
Contract Details
Approval Date
10/15/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
JACQUELINE D. SCHAUF, CEO/EXECUTIVE DIRECTOR
(318) 766-1967
Contract Pharmacy Representative
Reeves Drug Store
Gary Farmer, Owner
(318) 336-5112
Signed By Date
10/15/2019
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