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RELIANT MEDICAL LLC DBA RELIANT HEALTHCA
RW428852 Southwest Louisiana AIDS Council
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Covered Entity Details
Entity Name
Southwest Louisiana AIDS Council
Subdivision Name
Type
Ryan White Part D
340B ID
RW428852
Entity Address
425 Kingsley Street
Lake Charles, LA 70601
Grant Number
H12HA28852
Participating Start Date
10/1/2016
Last Recertification Date
2/10/2025
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
10/14/2016
Contract Begin Date
1/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Terry L. Estes, Executive Director
(337) 439-5861
Contract Pharmacy Representative
Reliant Healthcare
BRAD SMITH, CEO
(318) 322-8326
Signed By Date
10/14/2016
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