340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
COMMCARE PHARMACY-FTL, LLC
CAH191324-00 OCHSNER BAYOU LLC
Print
Covered Entity Details
Entity Name
OCHSNER BAYOU LLC
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH191324-00
Entity Address
4608 HIGHWAY 1
RACELAND, LA 70394
Medicare Provider Number
191324
Participating Start Date
1/1/2016
Last Recertification Date
8/29/2024
Pharmacy Details
Pharmacy Name
COMMCARE PHARMACY-FTL, LLC
Pharmacy Address
855 SW 78TH AVE STE C100
PLANTATION, FL 33324-3223
Pharmacy Comments
Contract Details
Approval Date
1/17/2017
Contract Begin Date
4/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/11/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Tim Allen, CEO
(985) 537-8377
Contract Pharmacy Representative
Commcare Pharmacy
Avani Patel, Client Relations Manager
(954) 284-2358
Signed By Date
1/17/2017
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session