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LAGNIAPPE PHARMACY 7, LLC
STD705033 Louisiana Gastroenterology Associates LLC
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Covered Entity Details
Entity Name
Louisiana Gastroenterology Associates LLC
Subdivision Name
Louisiana Gastroenterology Associates LLC
Type
Sexually Transmitted Diseases
340B ID
STD705033
Entity Address
439 Heymann Blvd
Lafayette, LA 70503
Grant Number
NH25PS005176
Participating Start Date
7/1/2023
Last Recertification Date
5/12/2025
Pharmacy Details
Pharmacy Name
LAGNIAPPE PHARMACY 7, LLC
Pharmacy Address
1900 SAINT CHARLES AVE
NEW ORLEANS, LA 70130-5317
Pharmacy Comments
Contract Details
Approval Date
5/31/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2023
Agreement registered in error
Contacts
Covered Entity Signing Official
Maneesh Gupta, CEO
(337) 322-2147
Contract Pharmacy Representative
Lagniappe Pharmacy
Steve Charbonnet, Owner
(504) 669-3870
Signed By Date
5/31/2023
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