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SOILEAU'S PHARMACY
CH062350 IBERIA COMPRHESIVE COM HEALTH CNTR, INC.
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Covered Entity Details
Entity Name
IBERIA COMPRHESIVE COM HEALTH CNTR, INC.
Subdivision Name
IBERIA COMPREHENSIVE COMMUNITY HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH062350
Entity Address
806 Jefferson Ter
New Iberia, LA 70560-5727
Grant Number
H80CS00697
Participating Start Date
12/1/1992
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
SOILEAU'S PHARMACY
Pharmacy Address
805 CENTER ST
NEW IBERIA, LA 70560-7056
Pharmacy Comments
Contract Details
Approval Date
4/18/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
5/28/2024
Ownership change
Contacts
Covered Entity Signing Official
De'Marquis Hamilton, CEO
(337) 365-4945 Ext: 1210
Contract Pharmacy Representative
Soileau's Pharmacy
Tala Bui, Owner
(337) 365-6721
Signed By Date
4/18/2024
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