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GREENSBURG FAMILY PHARMACY
CH063710 SOUTHEAST COMMUNITY HEALTH SYSTEMS
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Covered Entity Details
Entity Name
SOUTHEAST COMMUNITY HEALTH SYSTEMS
Subdivision Name
Southeast Community Health Systems - Greensburg Location
Type
HRSA-Funded Health Center
340B ID
CH063710
Entity Address
490 SITMAN STREET
GREENSBURG, LA 70441-1207
Grant Number
H80CS00370
Participating Start Date
4/1/1999
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
GREENSBURG FAMILY PHARMACY
Pharmacy Address
6166 HWY 10
GREENSBURG, LA 70441
Pharmacy Comments
Contract Details
Approval Date
7/14/2020
Contract Begin Date
10/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
11/22/2021
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Alecia Cyprian, Chief Executive Officer
(225) 306-2010
Contract Pharmacy Representative
Greensburg Family Pharmacy
Kyle L Curry, Pharmacist
(225) 222-4279
Signed By Date
7/14/2020
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