Contract Pharmacy Details

K & B LOUISIANA CORPORATION
CH060180 Teche Action Board, The

Covered Entity Details

Entity Name

Teche Action Board, The

Subdivision Name

TECHE ACTION CLINIC

Type

HRSA-Funded Health Center

340B ID

CH060180

Entity Address

1115 Weber St
Franklin, LA 70538-4124

Grant Number

H80CS00767

Participating Start Date

12/1/1992

Last Recertification Date

2/26/2025

Pharmacy Details

Pharmacy Name

K & B LOUISIANA CORPORATION

Pharmacy Address

RITE AID #7283
1223 NORTH VICTOR II BLVD.
MORGAN CITY, LA 70380

Pharmacy Comments

Contract Details

Approval Date

10/2/2014

Contract Begin Date

1/1/2015

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

2/22/2018
Ownership change

Contacts

Covered Entity Signing Official

William Brent, CFO
(337) 828-2550 Ext: 2146

Contract Pharmacy Representative

Rite Aid
Tammy Royer, Group Vice President, Managed Care
(717) 730-8217

Signed By Date

10/2/2014

340B Drug Pricing Program Database