340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
INVERNESS APOTHECARY TRINITY
DSH190013 WEST CALCASIEU-CAMERON HOSPITAL
Print
Covered Entity Details
Entity Name
WEST CALCASIEU-CAMERON HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH190013
Entity Address
701 EAST CYPRESS
SULPHUR, LA 70663
Medicare Provider Number
190013
Participating Start Date
10/1/2018
Last Recertification Date
8/29/2024
Pharmacy Details
Pharmacy Name
INVERNESS APOTHECARY TRINITY
Pharmacy Address
24333 GORDON TERRY PARKWAY
SUITE B
TRINITY, AL 35673
Pharmacy Comments
Contract Details
Approval Date
1/7/2022
Contract Begin Date
4/1/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/19/2023
Pharmacy closed
Contacts
Covered Entity Signing Official
Jobie James, Chief Financial Officer
(337) 527-4143
Contract Pharmacy Representative
VitalRx
Bobby Wamble, COO
(256) 260-3350
Signed By Date
1/7/2022
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session