Contract Pharmacy Details

THRIFT TOWN DRUGS INC
CH061898D Rkm Primary Care

Covered Entity Details

Entity Name

Rkm Primary Care

Subdivision Name

RKM Primary Care Livingston

Type

HRSA-Funded Health Center

340B ID

CH061898D

Entity Address

28315 S. Frost Road
Livingston, LA 70757

Grant Number

H80CS06459

Participating Start Date

7/1/2014

Last Recertification Date

2/12/2025

Pharmacy Details

Pharmacy Name

THRIFT TOWN DRUGS INC

Pharmacy Address

29680 S FROST RD
LIVINGSTON, LA 70754-1904

Pharmacy Comments

Contract Details

Approval Date

4/17/2014

Contract Begin Date

7/1/2014

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Ginger A. Hunt, CEO
(225) 683-6725

Contract Pharmacy Representative

TONY WILKISON, PHARMACIST
(225) 686-7241

Signed By Date

4/10/2014