340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
SCPG LOUISIANA LLC
DSH190208 EAST CARROLL PARISH HOSPITAL
Print
Covered Entity Details
Entity Name
EAST CARROLL PARISH HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH190208
Entity Address
336 NORTH HOOD STREET
LAKE PROVIDENCE, LA 71254
Medicare Provider Number
190208
Participating Start Date
4/1/2020
Last Recertification Date
9/12/2024
Pharmacy Details
Pharmacy Name
SCPG LOUISIANA LLC
Pharmacy Address
DBA: EXPRESS RX OF LAKE PROVIDENCE
302 LAKE STREET
LAKE PROVIDENCE, LA 71254
Pharmacy Comments
Contract Details
Approval Date
7/8/2020
Contract Begin Date
10/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
LaDonna Englerth, Administrator
(318) 559-4023 Ext: 103
Contract Pharmacy Representative
Express RX
Galen Perkins, CEO
(501) 534-4400
Signed By Date
7/8/2020
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session