340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALMART PHARMACY 10-5125
STD705701 Acadiana Practitioners LLC
Print
Covered Entity Details
Entity Name
Acadiana Practitioners LLC
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD705701
Entity Address
1119 Prudhomme Circle
Opelousas, LA 70570
Grant Number
NH25PS005176
Participating Start Date
11/13/2024
Last Recertification Date
Pharmacy Details
Pharmacy Name
WALMART PHARMACY 10-5125
Pharmacy Address
2310 S UNION STREET
OPELOUSAS, LA 70570
Pharmacy Comments
Contract Details
Approval Date
4/9/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Rhonda Bergeron, CEO
(337) 447-4027
Contract Pharmacy Representative
Walmart
Nick Tallman, Sr. Director, Merchandise Operations – Pharmacy
(479) 371-0417
Signed By Date
4/9/2025
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