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BEENE FAMILY PHARMACY LLC
CAH191314-00 MADISON PARISH HOSPITAL
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Covered Entity Details
Entity Name
MADISON PARISH HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH191314-00
Entity Address
900 Johnson Street
TALLULAH, LA 71282
Medicare Provider Number
191314
Participating Start Date
10/1/2022
Last Recertification Date
8/21/2024
Pharmacy Details
Pharmacy Name
BEENE FAMILY PHARMACY LLC
Pharmacy Address
BEENE'S DRUG STORE
402 E DARROW ST
TALLULAH, LA 71282
Pharmacy Comments
Contract Details
Approval Date
8/2/2022
Contract Begin Date
10/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Theodore Topolewski, CEO
(318) 574-2374 Ext: 202
Contract Pharmacy Representative
Sincere Rx
Peter Saad, President
(681) 238-2860
Signed By Date
7/14/2022
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