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EXPRESS SCRIPTS SPECIALTY
HV26854 Southwest Louisiana AIDS Council
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Covered Entity Details
Entity Name
Southwest Louisiana AIDS Council
Subdivision Name
n/a
Type
Ryan White Part C
340B ID
HV26854
Entity Address
425 Kingsley Street
Lake Charles, LA 70601
Grant Number
H76HA26854
Participating Start Date
10/1/2014
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
EXPRESS SCRIPTS SPECIALTY
Pharmacy Address
DISTRIBUTION SERVICES INC
4600 N HANLEY RD STE B
SAINT LOUIS, MO 63134-2715
Pharmacy Comments
Contract Details
Approval Date
7/5/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Terry L. Estes, Executive Director
(337) 439-5861
Contract Pharmacy Representative
Express Scripts
Gene McCabe, Lead Director, 340B Client Sales
(615) 943-7500
Signed By Date
7/5/2023
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