340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
VAUGHANS CITY DRUG CO OF CONC
CAH191318-00 Concordia Parish Hospital Service District 1 DBA Trinity Medical
Print
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
VAUGHANS CITY DRUG CO OF CONC
Pharmacy Address
109 EE WALLACE BLVD N
FERRIDAY, LA 71334
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
Vaughan's City Drug
Chris Vaughan, Owner
(318) 757-4811
Signed By Date
1/21/2022
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