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VILLAGE OF GILBERT PHARMACY, LLC
CH06248F CATAHOULA PARISH HOSPITAL DISTRICT #2
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Covered Entity Details
Entity Name
CATAHOULA PARISH HOSPITAL DISTRICT #2
Subdivision Name
Outpatient Behavioral Services
Type
HRSA-Funded Health Center
340B ID
CH06248F
Entity Address
1820 Ee Wallace Blvd N
Ferriday, LA 71334-2265
Grant Number
H80CS00206
Participating Start Date
7/1/2024
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
VILLAGE OF GILBERT PHARMACY, LLC
Pharmacy Address
VILLAGE OF GILBERT PHARMACY, LLC
7659 GILBERT ST STE A
GILBERT, LA 71336
Pharmacy Comments
Contract Details
Approval Date
10/9/2024
Contract Begin Date
1/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Debra K. Miesch, CEO
(318) 389-5727 Ext: 1407
Contract Pharmacy Representative
Book's Pharmacy LTD
George T. Book, Owner
(318) 414-2616
Signed By Date
10/9/2024
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