340B Drug Pricing Program Database
BRADSHAW ECONOMY DRUG INC.
CH031000 TUG RIVER HEALTH ASSOCIATION, INC - information as of 4/25/2025 6:43:56 PM
Covered Entity Details
Entity Name
TUG RIVER HEALTH ASSOCIATION, INC
Subdivision Name
TUG RIVER HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH031000
Entity Address
5883 Black Diamond Highway
GARY, WV 24836-0507
Grant Number
H80CS00701
Participating Start Date
10/1/2016
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
BRADSHAW ECONOMY DRUG INC.
Pharmacy Address
10029 MARSHALL HIGHWAY
BRADSHAW, WV 24817
Pharmacy Comments
Contract Details
Approval Date
4/14/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Cheryl Mitchem, Program Director
(304) 922-0534
Contract Pharmacy Representative
Bradshaw Economy Drug
MIchael Broyles, Pharmacist
(304) 967-9333
Signed By Date
4/14/2025
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