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LIVONIA THRIF-T-WAY PHARMACY
CH0610680 INNIS COMMUNITY HEALTH CENTER, INC.
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Covered Entity Details
Entity Name
INNIS COMMUNITY HEALTH CENTER, INC.
Subdivision Name
INNIS COMMUNITY HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH0610680
Entity Address
6450 LA HIGHWAY 1 STE B
INNIS, LA 70747-0889
Grant Number
H80CS00855
Participating Start Date
1/1/2004
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
LIVONIA THRIF-T-WAY PHARMACY
Pharmacy Address
3066 HWY 78
PO BOX 187
LIVONIA, LA 70755
Pharmacy Comments
Contract Details
Approval Date
1/6/2017
Contract Begin Date
4/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/6/2020
Ownership change
Contacts
Covered Entity Signing Official
Cindy Griffin Peavy, Executive Director
(225) 492-3775 Ext: 201
Contract Pharmacy Representative
Livonia Thrif-T-Way
Wyatt Walker, Pharmacist
(225) 637-2356
Signed By Date
1/6/2017
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