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THRIFT VILLAGE DRUGS INC
CH061335A ST. CHARLES COMMUNITY HEALTH CENTER, INC.
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Covered Entity Details
Entity Name
ST. CHARLES COMMUNITY HEALTH CENTER, INC.
Subdivision Name
ST. CHARLES COMMUNITY HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH061335A
Entity Address
843 Milling Ave
Luling, LA 70070-4442
Grant Number
H80CS00867
Participating Start Date
10/1/2003
Last Recertification Date
2/26/2025
Pharmacy Details
Pharmacy Name
THRIFT VILLAGE DRUGS INC
Pharmacy Address
737 PAUL MAILLARD RD
P.O. BOX 26
LULING, LA 70070-0026
Pharmacy Comments
Contract Details
Approval Date
11/22/2004
Contract Begin Date
11/22/2004
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
5/1/2018
Ownership change
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
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