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HEALTHCARE CENTER 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
HEALTHCARE CENTER PHARMACY
Pharmacy Address
2604 ST MICHAEL DRIVE, SUITE 200
TEXARKANA, TX 75503
Pharmacy Comments
Contract Details
Approval Date
1/23/2016
Contract Begin Date
4/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/10/2025
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Nancy Hellyer, CEO
(318) 561-7173
Contract Pharmacy Representative
CHRISTUS St. Michael Health System
Helen Pennington, Pharmacist in Charge
(903) 614-2215
Signed By Date
1/23/2016
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