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TULANE PHARMACY AT RUTH FERTEL
FP701191 Administrators of The Tulane Educational Fund / dba Tulane University
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Covered Entity Details
Entity Name
Administrators of The Tulane Educational Fund / dba Tulane University
Subdivision Name
Adolescent Medicine Clinic at Fertel
Type
Family Planning (Title X only)
340B ID
FP701191
Entity Address
711 N Broad
New Orleans, LA 70119
Grant Number
FPHPA006523
Participating Start Date
4/1/2024
Last Recertification Date
5/5/2025
Pharmacy Details
Pharmacy Name
TULANE PHARMACY AT RUTH FERTEL
Pharmacy Address
711 N BROAD ST
SUITE 100
NEW ORLEANS, LA 70119-4206
Pharmacy Comments
Contract Details
Approval Date
2/13/2024
Contract Begin Date
4/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
KATHLEEN M. KOZAR, Director, Sponsored projects Administration
(504) 988-5207
Contract Pharmacy Representative
TULANE PHARMACY
GRACE THACKER, REGIONAL DIRECTOR
(504) 228-6256
Signed By Date
1/8/2024
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