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FRED'S PHARMACY # 1324
CAH191311-00 HOSPITAL SERVICE DISTRICT #1, PARISH OF AVOYELLES, STATE OF LOUISIANA DBA BUNKIE GENERAL HOSPITAL
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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
FRED'S PHARMACY # 1324
Pharmacy Address
109 CHEVY LANE
SUITE B
BUNKIE, LA 71322
Pharmacy Comments
Contract Details
Approval Date
10/16/2014
Contract Begin Date
1/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/15/2019
Pharmacy closed
Contacts
Covered Entity Signing Official
LINDA DEVILLE, CHIEF EXECUTIVE OFFICER
(318) 346-6681 Ext: 233
Contract Pharmacy Representative
Shannon Strickland, SVP, Pharmacy Development
(901) 238-3113
Signed By Date
10/16/2014
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