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LOUISIANA CVS PHARMACY, L.L.C.
RW426264 NO/AIDS Task Force (d.b.a. CrescentCare)
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Covered Entity Details
Entity Name
NO/AIDS Task Force (d.b.a. CrescentCare)
Subdivision Name
CrescentCare Mid-City
Type
Ryan White Part D
340B ID
RW426264
Entity Address
2515 Canal Street
New Orleans, LA 70119
Grant Number
H12HA26264
Participating Start Date
1/1/2015
Last Recertification Date
3/7/2025
Pharmacy Details
Pharmacy Name
LOUISIANA CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 08999
2105 CLEARY AVE.
METAIRIE, LA 70001
Pharmacy Comments
Contract Details
Approval Date
10/18/2022
Contract Begin Date
1/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
NOEL John TWILBECK, CEO
(504) 821-2601 Ext: 1000
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/18/2022
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