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MATTES PHARMACY INC
CH0627740 Morehouse Community Medical Centers, Inc.
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Covered Entity Details
Entity Name
Morehouse Community Medical Centers, Inc.
Subdivision Name
CommuniHealth Services - Bastrop Community Health Center
Type
HRSA-Funded Health Center
340B ID
CH0627740
Entity Address
314 N Franklin Street
Bastrop, LA 71220
Grant Number
H80CS08764
Participating Start Date
7/1/2008
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
MATTES PHARMACY INC
Pharmacy Address
314 MAIN ST
P.O. BOX 17
MARION, LA 71260-5252
Pharmacy Comments
Contract Details
Approval Date
7/16/2015
Contract Begin Date
10/1/2015
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Katie Parnell, CEO
(318) 239-8026
Contract Pharmacy Representative
Mattes Pharmacy
Bruce Matte, RPH / President
(318) 292-4570
Signed By Date
7/16/2015
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