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ACCREDO HEALTH GROUP, INC.
STD705033 Louisiana Gastroenterology Associates LLC
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Covered Entity Details
Entity Name
Louisiana Gastroenterology Associates LLC
Subdivision Name
Louisiana Gastroenterology Associates LLC
Type
Sexually Transmitted Diseases
340B ID
STD705033
Entity Address
439 Heymann Blvd
Lafayette, LA 70503
Grant Number
NU62PS924522
Participating Start Date
7/1/2023
Last Recertification Date
5/10/2024
Pharmacy Details
Pharmacy Name
ACCREDO HEALTH GROUP, INC.
Pharmacy Address
2 BOULDEN CIR STE 1
NEW CASTLE, DE 19720-3492
Pharmacy Comments
Contract Details
Approval Date
10/14/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Maneesh Gupta, CEO
(337) 322-2147
Contract Pharmacy Representative
Accredo Health Group, Inc.
Travis Behrens, Lead Director, 340B Client Sales
(407) 988-7044
Signed By Date
10/14/2023
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