340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
BROTHER'S PHARMACY
STD70461 Hilton Dermatology and Aesthetics
Print
Covered Entity Details
Entity Name
Hilton Dermatology and Aesthetics
Subdivision Name
Hilton Dermatology and Aesthetics
Type
Sexually Transmitted Diseases
340B ID
STD70461
Entity Address
2050 Gause Blvd E, Suite 100
Slidell, LA 70461
Grant Number
NH25PS005176
Participating Start Date
4/1/2024
Last Recertification Date
5/5/2025
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
10/15/2024
Contract Begin Date
10/17/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
angel barrios, practice manager
(985) 649-5880
Contract Pharmacy Representative
Pharmacy
Troy Tate, President
(800) 291-1089
Signed By Date
10/15/2024
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session