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BROWN'S PHARMACY LLC
CH06757B CAPITOL CITY FAMILY HEALTH CENTER INC dba CARESOUTH
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Covered Entity Details
Entity Name
CAPITOL CITY FAMILY HEALTH CENTER INC dba CARESOUTH
Subdivision Name
Capitol City Family Health Center @ Donaldsonville
Type
HRSA-Funded Health Center
340B ID
CH06757B
Entity Address
904 Catalpa Street
Donaldsonville, LA 70346
Grant Number
H80CS00504
Participating Start Date
10/1/2012
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
BROWN'S PHARMACY LLC
Pharmacy Address
1718 N FOSTER DR STE B
BATON ROUGE, LA 70806-1076
Pharmacy Comments
Contract Details
Approval Date
10/13/2014
Contract Begin Date
1/1/2015
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Yakima Black, Chief Executive Officer
(225) 650-2026
Contract Pharmacy Representative
Darlene S. Brown, Pharmacist in Charge
(225) 650-2077
Signed By Date
10/13/2014
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