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RELIANT MEDICAL LLC DBA RELIANT HEALTHCA
HV00721 The Administrators of the Tulane Educational Fund
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Covered Entity Details
Entity Name
The Administrators of the Tulane Educational Fund
Subdivision Name
Tulane Doctors RW Clinic - Alexandria
Type
Ryan White Part C
340B ID
HV00721
Entity Address
1208 Wisteria Street
Alexandria, LA 71301
Grant Number
H76HA00721
Participating Start Date
10/1/2011
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
RELIANT MEDICAL LLC DBA RELIANT HEALTHCA
Pharmacy Address
1004 N 19TH ST
MONROE, LA 71201-5734
Pharmacy Comments
11/15/10 UPDATED ADDR (WAS 300 N. STANLEY);
Contract Details
Approval Date
7/13/2015
Contract Begin Date
10/1/2015
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
KATHLEEN M. KOZAR, Director, Sponsored projects Administration
(504) 988-5207
Contract Pharmacy Representative
Reliant Healthcare
BRAD SMITH, CEO
(318) 322-8326
Signed By Date
7/13/2015
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