340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
RAYVILLE FAMILY PHARMACY, LLC
STD712692 Guardian Health Clinic LLC
Print
Covered Entity Details
Entity Name
Guardian Health Clinic LLC
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD712692
Entity Address
111 Christian Dr
Rayville, LA 71269
Grant Number
NH25PS005176
Participating Start Date
7/1/2025
Last Recertification Date
Pharmacy Details
Pharmacy Name
RAYVILLE FAMILY PHARMACY, LLC
Pharmacy Address
1821 LOUISA ST
RAYVILLE, LA 71269-3523
Pharmacy Comments
Contract Details
Approval Date
5/2/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Ashley Morris, Practice Manager
(318) 728-4400
Contract Pharmacy Representative
Rayville Family Pharmacy
Kayla Bridges, Owner
(318) 728-2430
Signed By Date
4/14/2025
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