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THRIFTY WAY PHARMACY OF BASILE
DSH190025 SAVOY MEDICAL MANAGEMENT GROUP, INC. D/B/A SAVOY MEDICAL CENTER
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Covered Entity Details
Entity Name
SAVOY MEDICAL MANAGEMENT GROUP, INC. D/B/A SAVOY MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH190025
Entity Address
801 POINCIANA AVENUE
MAMOU, LA 70554
Medicare Provider Number
190025
Participating Start Date
7/1/2010
Last Recertification Date
8/23/2024
Pharmacy Details
Pharmacy Name
THRIFTY WAY PHARMACY OF BASILE
Pharmacy Address
THRIFTY WAY PHARMACY
3131 STAGG AVE
BASILE, LA 70515
Pharmacy Comments
Contract Details
Approval Date
4/14/2022
Contract Begin Date
7/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
LANCE ARMENTOR, CEO
(337) 468-0350
Contract Pharmacy Representative
Thrifty Way Pharmacy
Michelle Andrus, Owner
(337) 432-6642
Signed By Date
4/14/2022
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