340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
ALBERTSONS LLC
STD70818 Outstanding Mature Girlz
Print
Covered Entity Details
Entity Name
Outstanding Mature Girlz
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD70818
Entity Address
8599 Joor Road
Suite C
Baton Rouge, LA 70818
Grant Number
6 NH25PS004338-03-01
Participating Start Date
4/1/2018
Last Recertification Date
5/20/2024
Entity Termination Date
10/1/2024
Pharmacy Details
Pharmacy Name
ALBERTSONS LLC
Pharmacy Address
SAV-ON PHARMACY #712
9650 AIRLINE HWY
BATON ROUGE, LA 70815
Pharmacy Comments
Contract Details
Approval Date
4/16/2018
Contract Begin Date
7/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/15/2021
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Sashika M Baunchand, CEO
(225) 456-6955
Contract Pharmacy Representative
Nota Consulting Group, LLC
Fungisai Nota, 340B Program Manager
(610) 742-7763
Signed By Date
4/16/2018
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