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RAWLS PHARMACY
CAH191313-00 RIVERSIDE MEDICAL CENTER
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Covered Entity Details
Entity Name
RIVERSIDE MEDICAL CENTER
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH191313-00
Entity Address
1900 MAIN STREET
FRANKLINTON, LA 70438-3688
Medicare Provider Number
191313
Participating Start Date
9/21/2010
Last Recertification Date
8/15/2024
Pharmacy Details
Pharmacy Name
RAWLS PHARMACY
Pharmacy Address
36009 HIGHWAY 38
MOUNT HERMON, LA 70450-5340
Pharmacy Comments
Contract Details
Approval Date
7/10/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Sean Johnson, CEO
(985) 795-4180
Contract Pharmacy Representative
Rawls Pharmacy
Jeremy Rawls, Owner
(985) 877-4700
Signed By Date
7/10/2023
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