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LAGNIAPPE PHARMACY 7, LLC
STD705032 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
STD705032
Entity Address
1211 Coolidge Blvd Ste 400
Lafayette, LA 70503
Grant Number
NH25PS005176
Participating Start Date
7/1/2023
Last Recertification Date
5/12/2025
Pharmacy Details
Pharmacy Name
LAGNIAPPE PHARMACY 7, LLC
Pharmacy Address
1900 SAINT CHARLES AVE
NEW ORLEANS, LA 70130-5317
Pharmacy Comments
Contract Details
Approval Date
10/16/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
2/21/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Maneesh Gupta, CEO
(337) 322-2147
Contract Pharmacy Representative
Lagniappe Pharmacy
Steve Charbonnet, Owner
(504) 669-3870
Signed By Date
10/16/2023
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