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TULANE PHARMACY
STD713013 The Administrators of the Tulane Educational Fund
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Covered Entity Details
Entity Name
The Administrators of the Tulane Educational Fund
Subdivision Name
Tulane Doctors ID Clinic - Alexandria
Type
Sexually Transmitted Diseases
340B ID
STD713013
Entity Address
1208 Wisteria Street
Alexandria, LA 71301
Grant Number
NH25PS005176
Participating Start Date
1/1/2020
Last Recertification Date
5/5/2025
Pharmacy Details
Pharmacy Name
TULANE PHARMACY
Pharmacy Address
1430 TULANE AVE STE 1502
NEW ORLEANS, LA 70112-2632
Pharmacy Comments
Contract Details
Approval Date
1/15/2020
Contract Begin Date
4/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
KATHLEEN M. KOZAR, Director, Sponsored projects Administration
(504) 988-5207
Contract Pharmacy Representative
Receptrx
Samantha Gould, Director of Client Services
(914) 705-9046
Signed By Date
1/15/2020
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