340B Drug Pricing Program Database

Pharmacy Name

CARMICHAEL'S PHARMACY

Pharmacy Address

1472 SOUTH COLLEGE RD #102A
LAFAYETTE, LA 70503

Pharmacy Comments

07/08/2013 Pharmacy Address correction, address updated in error on 3/28/2013

Approval Date

3/15/2013

Contract Begin Date

4/1/2013

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

1/1/2017
Business decision by covered entity and/or pharmacy

Covered Entity Signing Official

PATRICK GANDY, CEO
(337) 289-7475

Contract Pharmacy Representative

Byron D. Finn, President
(337) 783-7263

Signed By Date

1/29/2013