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LAKEVIEW PHARMACY
SCH190007-00 NATCHITOCHES REGIONAL MEDICAL CENTER
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Covered Entity Details
Entity Name
NATCHITOCHES REGIONAL MEDICAL CENTER
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH190007-00
Entity Address
501 KEYSER AVE
NATCHITOCHES, LA 71457
Medicare Provider Number
190007
Participating Start Date
9/7/2010
Last Recertification Date
9/13/2022
Entity Termination Date
10/1/2022
Pharmacy Details
Pharmacy Name
LAKEVIEW PHARMACY
Pharmacy Address
3199 HIGHWAY 71
CAMPTI, LA 71411-4061
Pharmacy Comments
Contract Details
Approval Date
7/15/2014
Contract Begin Date
10/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2022
Covered Entity Terminated
Contacts
Covered Entity Signing Official
William E. Page, CFO
(318) 214-4350
Contract Pharmacy Representative
Lakeview Pharmacy
SUSIE WATERS, OFFICE MANAGER
(318) 476-6877
Signed By Date
7/15/2014
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