340B Drug Pricing Program Database

Pharmacy Name

WINN DIXIE PHARMACY #1472

Pharmacy Address

401 N. CARROLLTON AVE.
NEW ORLEANS, LA 70119-4702

Pharmacy Comments

Approval Date

4/12/2022

Contract Begin Date

7/1/2022

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

12/31/2023
Ownership change

Covered Entity Signing Official

NOEL John TWILBECK, CEO
(504) 821-2601 Ext: 1000

Contract Pharmacy Representative

Southeastern Grocers LLC
Michael LeBlanc, Sr.Director, Pharmacy
(904) 783-5897

Signed By Date

4/12/2022