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LOUISIANA CVS PHARMACY, L.L.C.
CAH191319-00 ACADIA-ST. LANDRY HOSPITAL
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Covered Entity Details
Entity Name
ACADIA-ST. LANDRY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH191319-00
Entity Address
810 SOUTH BROADWAY
CHURCH POINT, LA 70525
Medicare Provider Number
191319
Participating Start Date
1/1/2022
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
LOUISIANA CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 05292
1013 EAST LANDRY STREET
OPELOUSAS, LA 70570
Pharmacy Comments
Contract Details
Approval Date
10/13/2022
Contract Begin Date
1/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Michael J Lejeune, Chief Executive Officer / Administrator
(337) 684-4277
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/13/2022
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