340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
RXONE LAKE
DSH190125 ST FRANCIS MEDICAL CENTER, INC
Print
Covered Entity Details
Entity Name
ST FRANCIS MEDICAL CENTER, INC
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH190125
Entity Address
309 JACKSON STREET
MONROE, LA 71201
Medicare Provider Number
190125
Participating Start Date
4/1/2006
Last Recertification Date
8/13/2024
Pharmacy Details
Pharmacy Name
RXONE LAKE
Pharmacy Address
5000 HENNESSY BLVD
CHAPEL HALLWAY RM 101
BATON ROUGE, LA 70808
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
Jeremy Rogers, VP, Chief Financial Officer
(337) 470-2147
Contract Pharmacy Representative
FMOLHS
Adria Kerr, Corporate Director of Retail
(225) 765-9014
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