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MABILE'S CORNER PHARMACY
CAH191312-00 CHRISTUS Health Central Louisiana DBA CHRISTUS Coushatta Health Care Center
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Covered Entity Details
Entity Name
CHRISTUS Health Central Louisiana DBA CHRISTUS Coushatta Health Care Center
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH191312-00
Entity Address
1635 Marvel Street
Coushatta, LA 71019
Medicare Provider Number
191312
Participating Start Date
1/1/2012
Last Recertification Date
8/16/2024
Pharmacy Details
Pharmacy Name
MABILE'S CORNER PHARMACY
Pharmacy Address
100 GULF ST
COUSHATTA, LA 71019
Pharmacy Comments
Contract Details
Approval Date
3/13/2013
Contract Begin Date
4/1/2013
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Stephen F. Wright, President and CEO
(318) 448-6701
Contract Pharmacy Representative
Connie Mabile, Owner
(318) 932-5727
Signed By Date
1/29/2013
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