340B Drug Pricing Program Database

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MAXOR SPECIALTY PHARMACY
DSH190064 OUR LADY OF THE LAKE

Covered Entity Details

Disproportionate Share Hospital
DSH190064
REGIONAL MED CTR
5000 HENNESSY BLVD
BATON ROUGE, LA 70808-4375
190064
4/1/2008
8/15/2024


Pharmacy Details

216 S POLK ST
AMARILLO, TX 79101-1407

Contract Details

10/16/2017
1/1/2018

6/16/2020
Business decision by covered entity and/or pharmacy


Contacts


Jeffrey Limbocker, CFO
(225) 765-8550



Maxor
Leah Bailey, Representative
(806) 322-5937
10/16/2017