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ONCOMED PHARMACEUTICAL SERVICES OF MA, L
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
ONCOMED PHARMACEUTICAL SERVICES OF MA, L
Pharmacy Address
D/B/A ONCO360
335 BEAR HILL RD
STE 2100
WALTHAM, MA 02451
Pharmacy Comments
Contract Details
Approval Date
4/13/2015
Contract Begin Date
7/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2015
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Stephen F. Wright, President and CEO
(318) 448-6701
Contract Pharmacy Representative
OncoMed Pharmaceutical
Mina Saied, Director of Pharmacy
(877) 662-6633 Ext: 1320
Signed By Date
4/13/2015
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