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MCDONALD PHARMACY
CAH191306-00 WEST FELICIANA PARISH HOSPITAL
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Covered Entity Details
Entity Name
WEST FELICIANA PARISH HOSPITAL
Subdivision Name
A POLITICAL SUBDIVISION OF THE PARISH OF WEST FELICIANA PARISH
Type
Critical Access Hospital
340B ID
CAH191306-00
Entity Address
5266 COMMERCE STREET
SAINT FRANCISVILLE, LA 70775
Medicare Provider Number
191306
Participating Start Date
10/1/2018
Last Recertification Date
8/23/2024
Pharmacy Details
Pharmacy Name
MCDONALD PHARMACY
Pharmacy Address
RC MCDONALD CO INC.
1701 CHARTER ST
PO BOX 299
JACKSON, LA 70748
Pharmacy Comments
Contract Details
Approval Date
10/11/2022
Contract Begin Date
1/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Ledoux Chastant, CEO
(225) 635-2441
Contract Pharmacy Representative
McDonald Pharmacy
KEVIN Tomb, Pharmacist/Owner
(225) 634-2470
Signed By Date
10/11/2022
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