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WOODLAKES PHARMACY
STD701153 Hope Clinic at the New Orleans Family Justice Center
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Covered Entity Details
Entity Name
Hope Clinic at the New Orleans Family Justice Center
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD701153
Entity Address
701 Loyola Avenue
Suite 108
New Orleans, LA 70113
Grant Number
NH25PS005176
Participating Start Date
10/1/2023
Last Recertification Date
5/7/2024
Pharmacy Details
Pharmacy Name
WOODLAKES PHARMACY
Pharmacy Address
525 WOODLAND SQUARE BLVD STE 170
SUITE 170
CONROE, TX 77384-2212
Pharmacy Comments
Contract Details
Approval Date
9/1/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Kelley Lipsey, Clinic Director
(504) 503-0895
Contract Pharmacy Representative
Elite Analytics Group, Inc
Rex Green, CEO
(469) 899-2293
Signed By Date
7/11/2023
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