340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
UNIVERSITY HOSPITAL & CLINICS, INC.
DSH190053 OCHSNER AMERICAN LEGION HOSPITAL
Print
Covered Entity Details
Entity Name
OCHSNER AMERICAN LEGION HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH190053
Entity Address
1634 ELTON ROAD
JENNINGS, LA 70546
Medicare Provider Number
190053
Participating Start Date
1/1/2007
Last Recertification Date
8/28/2024
Pharmacy Details
Pharmacy Name
UNIVERSITY HOSPITAL & CLINICS, INC.
Pharmacy Address
OUTPATIENT PHARMACY
2390 W CONGRESS ST
LAFAYETTE, LA 70506-4205
Pharmacy Comments
Contract Details
Approval Date
4/17/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Dana Williams, CEO
(337) 616-7033
Contract Pharmacy Representative
Lafayette General
Logan Kelley, Director of Outpatient Pharmacy
(337) 266-4869
Signed By Date
4/17/2023
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session