340B Drug Pricing Program Database

Pharmacy Name

RELIANT MEDICAL LLC DBA RELIANT HEALTHCA

Pharmacy Address

1004 N 19TH ST
MONROE, LA 71201-5734

Pharmacy Comments

11/15/10 UPDATED ADDR (WAS 300 N. STANLEY);

Approval Date

1/6/2015

Contract Begin Date

4/1/2015

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Claude Martin, CEO
(337) 233-2437 Ext: 125

Contract Pharmacy Representative

Reliant Healthcare
BRAD SMITH, CEO
(318) 322-8326

Signed By Date

1/6/2015