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MATTES PHARMACY INC
CH062774H MOREHOUSE COMMUNITY MEDICAL CENTERS INC
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Covered Entity Details
Entity Name
MOREHOUSE COMMUNITY MEDICAL CENTERS INC
Subdivision Name
CommuniHealth Services - Behavioral Health Wellness Clinic
Type
HRSA-Funded Health Center
340B ID
CH062774H
Entity Address
501 Durham St
Bastrop, LA 71220
Grant Number
H80CS08764
Participating Start Date
1/1/2025
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
MATTES PHARMACY INC
Pharmacy Address
314 MAIN ST
P.O. BOX 17
MARION, LA 71260-5252
Pharmacy Comments
Contract Details
Approval Date
1/18/2017
Contract Begin Date
4/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2023
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Morehouse Community Medical Centers, Inc.
Katie Parnell, CEO
(318) 239-8026
Signed By Date
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