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RELIANT MEDICAL LLC DBA RELIANT HEALTHCA
STD713012 Central Louisiana AIDS Support Services, Inc. (CLASS)
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Covered Entity Details
Entity Name
Central Louisiana AIDS Support Services, Inc. (CLASS)
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD713012
Entity Address
1785 Jackson Street
Alexandria, LA 71301
Grant Number
NH25PS005176
Participating Start Date
7/1/2014
Last Recertification Date
5/5/2025
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
7/10/2017
Contract Begin Date
10/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Ann Lowrey, Director
(318) 442-1010 Ext: 214
Contract Pharmacy Representative
Reliant Healthcare
BRAD SMITH, CEO
(318) 322-8326
Signed By Date
7/10/2017
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