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OCHSNER AMERICAN LEGION HOSPITAL RETAIL
DSH190006 UNIVERSITY HOSPITAL AND CLINICS
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Covered Entity Details
Entity Name
UNIVERSITY HOSPITAL AND CLINICS
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH190006
Entity Address
2390 W CONGRESS ST.
LAFAYETTE, LA 70506
Medicare Provider Number
190006
Participating Start Date
1/1/1998
Last Recertification Date
8/28/2024
Pharmacy Details
Pharmacy Name
OCHSNER AMERICAN LEGION HOSPITAL RETAIL
Pharmacy Address
1634 ELTON RD FL 1
JENNINGS, LA 70546
Pharmacy Comments
Contract Details
Approval Date
4/17/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Glenn Dailey, CEO
(337) 261-6005
Contract Pharmacy Representative
Ochsner Lafayette General
Logan Kelley, Manager of Retail Pharmacy
(337) 266-4869
Signed By Date
4/17/2025
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