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LOUISIANA CVS PHARMACY, L.L.C.
CH064760 ST GABRIEL HEALTH CLINIC INC
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Covered Entity Details
Entity Name
ST GABRIEL HEALTH CLINIC INC
Subdivision Name
ST. GABRIEL HEALTH CLINIC, INC.
Type
HRSA-Funded Health Center
340B ID
CH064760
Entity Address
5760 Monticello Dr
Saint Gabriel, LA 70776
Grant Number
H80CS00551
Participating Start Date
7/1/1999
Last Recertification Date
3/10/2025
Pharmacy Details
Pharmacy Name
LOUISIANA CVS PHARMACY, L.L.C.
Pharmacy Address
DBA CVS/PHARMACY # 10318
9326 BURBANK DRIVE
BATON ROUGE, LA 70820
Pharmacy Comments
Contract Details
Approval Date
10/2/2020
Contract Begin Date
1/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Shirley F Wade, NP, Admin Liaison
(225) 642-9676 Ext: 119
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/2/2020
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