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PROFESSIONAL ARTS PHARMACY
STD700433 David L. Schneider, M.D., A.P.M.C.
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Covered Entity Details
Entity Name
David L. Schneider, M.D., A.P.M.C.
Subdivision Name
David L. Schneider, M.D., A.P.M.C.
Type
Sexually Transmitted Diseases
340B ID
STD700433
Entity Address
2611 Jackson Blvd
Chalmette, LA 70043
Grant Number
5NU62PS924522
Participating Start Date
1/1/2024
Last Recertification Date
5/6/2024
Pharmacy Details
Pharmacy Name
PROFESSIONAL ARTS PHARMACY
Pharmacy Address
COMPOUNDING PHARMACIES OF LOUISIANA
128 CURRAN LN
LAFAYETTE, LA 70506
Pharmacy Comments
Contract Details
Approval Date
1/9/2024
Contract Begin Date
4/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Adil Aryman Fatakia, MD
(504) 895-5357 Ext: 1
Contract Pharmacy Representative
Professional Arts Pharmacy
Eric Vidrine, Owner
(888) 237-4737
Signed By Date
1/9/2024
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