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Brothers Pharmacy LLC
STD70002 David L. Schneider, M.D., A.P.M.C.
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Covered Entity Details
Entity Name
David L. Schneider, M.D., A.P.M.C.
Subdivision Name
David L. Schneider, M.D. A.P.M.C.
Type
Sexually Transmitted Diseases
340B ID
STD70002
Entity Address
3225 Danny Park, Suite 100
Metairie, LA 70002
Grant Number
5NU62PS924522
Participating Start Date
9/22/2022
Last Recertification Date
5/6/2024
Pharmacy Details
Pharmacy Name
Brothers Pharmacy LLC
Pharmacy Address
6200 Leslie Lane
Lake Charles, LA 70615-4772
Pharmacy Comments
Contract Details
Approval Date
5/31/2023
Contract Begin Date
6/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Adil Aryman Fatakia, MD
(504) 895-5357 Ext: 1
Contract Pharmacy Representative
Brothers Pharmacy
Bill Tella, Chief Business Officer
(516) 532-2469
Signed By Date
5/31/2023
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