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CENTRAL DRUG STORE INC
DSH190020 LANE REGIONAL MEDICAL CENTER
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Covered Entity Details
Entity Name
LANE REGIONAL MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH190020
Entity Address
6300 MAIN STREET
ZACHARY, LA 70791
Medicare Provider Number
190020
Participating Start Date
4/1/2008
Last Recertification Date
8/28/2024
Pharmacy Details
Pharmacy Name
CENTRAL DRUG STORE INC
Pharmacy Address
DBA: CENTRAL PHARMACY
9952 SULLIVAN RD
DBA CENTRAL PHARMACY
BATON ROUGE, LA 70818-4300
Pharmacy Comments
Contract Details
Approval Date
11/15/2010
Contract Begin Date
11/24/2010
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
8/1/2015
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
11/11/2010
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