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WAL-MART PHARMACY #10-0761
CAH191324-00 OCHSNER BAYOU LLC
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Covered Entity Details
Entity Name
OCHSNER BAYOU LLC
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH191324-00
Entity Address
4608 HIGHWAY 1
RACELAND, LA 70394
Medicare Provider Number
191324
Participating Start Date
1/1/2016
Last Recertification Date
8/29/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY #10-0761
Pharmacy Address
4858 HIGHWAY 1
RACELAND, LA 70394
Pharmacy Comments
Contract Details
Approval Date
4/16/2021
Contract Begin Date
7/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Tim Allen, CEO
(985) 537-8377
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
4/16/2021
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