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BROTHER'S PHARMACY
STD700061 Arthritis & Rheumatology of Metairie, APMC
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Covered Entity Details
Entity Name
Arthritis & Rheumatology of Metairie, APMC
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD700061
Entity Address
4315 Houma Blvd.
303
Metairie, LA 70006
Grant Number
NH25PS005176
Participating Start Date
10/1/2024
Last Recertification Date
5/7/2025
Pharmacy Details
Pharmacy Name
BROTHER'S PHARMACY
Pharmacy Address
BROTHER'S PHARMACY LLC
6200 LESLIE LN
LAKE CHARLES, LA 70615
Pharmacy Comments
Contract Details
Approval Date
8/12/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Louis Donovan Perdue, MD, Owner
(504) 889-5242
Contract Pharmacy Representative
Pharmacy
Troy Tate, President
(800) 291-1089
Signed By Date
7/12/2024
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