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IDEAL PHARMACY
CAH191313-00 RIVERSIDE MEDICAL CENTER
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Covered Entity Details
Entity Name
RIVERSIDE MEDICAL CENTER
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH191313-00
Entity Address
1900 MAIN STREET
FRANKLINTON, LA 70438-3688
Medicare Provider Number
191313
Participating Start Date
9/21/2010
Last Recertification Date
8/15/2024
Pharmacy Details
Pharmacy Name
IDEAL PHARMACY
Pharmacy Address
808 RIVERSIDE DR
FRANKLINTON, LA 70438
Pharmacy Comments
Contract Details
Approval Date
10/20/2011
Contract Begin Date
3/29/2011
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/31/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
3/15/2011
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