340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
CITY DRUG STORE
CAH191311-00 HOSPITAL SERVICE DISTRICT #1, PARISH OF AVOYELLES, STATE OF LOUISIANA DBA BUNKIE GENERAL HOSPITAL
Print
Covered Entity Details
Entity Name
HOSPITAL SERVICE DISTRICT #1, PARISH OF AVOYELLES, STATE OF LOUISIANA DBA BUNKIE GENERAL HOSPITAL
Subdivision Name
HOSPITAL SERVICE DISTRICT #1
Type
Critical Access Hospital
340B ID
CAH191311-00
Entity Address
427 EVERGREEN STREET
BUNKIE, LA 71322
Medicare Provider Number
191311
Participating Start Date
9/20/2010
Last Recertification Date
8/21/2024
Pharmacy Details
Pharmacy Name
CITY DRUG STORE
Pharmacy Address
1010 SHIRLEY RD
BUNKIE, LA 71322-1543
Pharmacy Comments
Contract Details
Approval Date
10/20/2011
Contract Begin Date
5/6/2011
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/29/2016
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
4/21/2011
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