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INFUSION PARTNERS, LLC
DSH190011 BRFHH Monroe LLC d/b/a Ochsner LSU Health Monroe
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Covered Entity Details
Entity Name
BRFHH Monroe LLC d/b/a Ochsner LSU Health Monroe
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH190011
Entity Address
4864 JACKSON STREET
MONROE, LA 71202
Medicare Provider Number
190011
Participating Start Date
1/1/1998
Last Recertification Date
8/29/2024
Pharmacy Details
Pharmacy Name
INFUSION PARTNERS, LLC
Pharmacy Address
DBA BIOSCRIP INFUSION SERVICES
1796 E. BERT KOUNS INDUSTRIAL LOOP
SHREVEPORT, LA 71105-5560
Pharmacy Comments
Contract Details
Approval Date
4/13/2016
Contract Begin Date
7/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/1/2017
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Larry Donner, CEO
(318) 330-7525
Contract Pharmacy Representative
Jan Juneau, Regional Director of Strategic Initiatives
(888) 323-9595
Signed By Date
4/13/2016
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