340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WEST ST JAMES PHARMACY
CAH191305-00 ST. JAMES PARISH HOSPITAL
Print
Covered Entity Details
Entity Name
ST. JAMES PARISH HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH191305-00
Entity Address
1645 LUTCHER AVENUE
LUTCHER, LA 70071
Medicare Provider Number
191305
Participating Start Date
9/9/2010
Last Recertification Date
9/4/2024
Pharmacy Details
Pharmacy Name
WEST ST JAMES PHARMACY
Pharmacy Address
21430 HIGHWAY 20
VACHERIE, LA 70090
Pharmacy Comments
Contract Details
Approval Date
10/9/2014
Contract Begin Date
1/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/7/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
MARY ELLEN PRATT, CEO
(225) 746-2990
Contract Pharmacy Representative
Mitchell Amedee, Pharmacist in Charge
(225) 265-2191
Signed By Date
10/9/2014
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session