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BROOKS DRUGS
CH062480 CATAHOULA PARISH HOSPITAL DISTRICT # 2
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Covered Entity Details
Entity Name
CATAHOULA PARISH HOSPITAL DISTRICT # 2
Subdivision Name
ISLAND MEDICAL & DENTAL
Type
HRSA-Funded Health Center
340B ID
CH062480
Entity Address
307 Chisum St
Sicily Island, LA 71368
Grant Number
H80CS00206
Participating Start Date
1/1/1999
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
BROOKS DRUGS
Pharmacy Address
BROOKS DRUGS
104 MOUND ST
JONESVILLE, LA 71343
Pharmacy Comments
Contract Details
Approval Date
10/17/2016
Contract Begin Date
1/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Debra K. Miesch, CEO
(318) 389-5727 Ext: 1407
Contract Pharmacy Representative
Brooks Drugs
Angela G. Parish, owner
(318) 339-7913
Signed By Date
10/17/2016
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