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PROFESSIONAL ARTS PHARMACY
STD700724 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. d/b/a ENT of New Orleans
Type
Sexually Transmitted Diseases
340B ID
STD700724
Entity Address
1151 Barataria Blvd
3100
Marrero, LA 70072
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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