340B Drug Pricing Program Database

Pharmacy Name

JALH OUTPATIENT PHARMACY

Pharmacy Address

1634 ELTON RD
JENNINGS, LA 70546

Pharmacy Comments

Approval Date

1/17/2013

Contract Begin Date

4/1/2013

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

9/23/2020
Business decision by covered entity and/or pharmacy

Covered Entity Signing Official

Dana Williams, CEO
(337) 616-7033

Contract Pharmacy Representative

Brian Trahan, Pharmacist
(337) 616-7371

Signed By Date

1/11/2013