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WAL-MART PHARMACY 10-1102
CAH191306-01 WEST FELICIANA PARISH HOSPITAL
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Covered Entity Details
Entity Name
WEST FELICIANA PARISH HOSPITAL
Subdivision Name
West Feliciana Hospital - Psychiatric Facility
Type
Critical Access Hospital
340B ID
CAH191306-01
Entity Address
5266 Commerce Street
ST FRANCISIVLLE, LA 70775
Medicare Provider Number
191306
Outpatient Facility Provider Number
Participating Start Date
1/1/2023
Last Recertification Date
8/22/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-1102
Pharmacy Address
14507 PLANK ROAD
BAKER, LA 70714
Pharmacy Comments
Contract Details
Approval Date
4/15/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/18/2025
Agreement registered in error
Contacts
Covered Entity Signing Official
Ledoux Chastant, CEO
(225) 635-2441
Contract Pharmacy Representative
Walmart
Christian Nava, Senior Manager, Program Development-340B
(210) 632-0647
Signed By Date
4/15/2025
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