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K & B LOUISIANA CORPORATION
CH060180 Teche Action Board, The
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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 #7284
1301 HIGHWAY 90 EAST
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
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