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BOOK'S PHARMACY LTD
CAH191318-00 Concordia Parish Hospital Service District 1 DBA Trinity Medical
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Covered Entity Details
Entity Name
Concordia Parish Hospital Service District 1 DBA Trinity Medical
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH191318-00
Entity Address
6569 Hwy 84
Ferriday, LA 71334
Medicare Provider Number
191318
Participating Start Date
10/1/2011
Last Recertification Date
8/27/2024
Pharmacy Details
Pharmacy Name
BOOK'S PHARMACY LTD
Pharmacy Address
1158 LOGAN SEWELL DR.
VIDALIA, LA 71373
Pharmacy Comments
Contract Details
Approval Date
1/21/2022
Contract Begin Date
1/24/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Nekeisha Smith, CEO
(318) 757-6551 Ext: 612
Contract Pharmacy Representative
Book's Pharmacy LTD
George T. Book, Owner
(318) 414-2616
Signed By Date
1/21/2022
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