340B Drug Pricing Program Database

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);

Approval Date

3/5/2020

Contract Begin Date

4/1/2020

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

7/6/2023
Business decision by covered entity and/or pharmacy

Covered Entity Signing Official

Jason D Landry, Dr
(337) 988-9737 Ext: 3373229616

Contract Pharmacy Representative

Reliant
Clint Wood, Director 340B
(877) 354-2688

Signed By Date

1/10/2020