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MCDONALD PHARMACY
CAH191306-02 WEST FELICIANA PARISH HOSPITAL
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Covered Entity Details
Entity Name
WEST FELICIANA PARISH HOSPITAL
Subdivision Name
West Feliciana Hospital Clinic - Specialty Clinic
Type
Critical Access Hospital
340B ID
CAH191306-02
Entity Address
10289 Gould Dr. Suite C
ST FRANCISIVLLE, LA 70775
Medicare Provider Number
191306
Outpatient Facility Provider Number
Participating Start Date
1/1/2023
Last Recertification Date
8/22/2024
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
3/20/2023
Contract Begin Date
4/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Ledoux Chastant, CEO
(225) 635-2441
Contract Pharmacy Representative
West Feliciana Parish Hospital
LINDA HARVEY, CFO
(225) 635-2411
Signed By Date
3/20/2023
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