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GREGG'S PHARMACY WV, INC.
CHC06642-00 WESTERN MARYLAND HEALTH CARE CORPORATION
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Covered Entity Details
Entity Name
WESTERN MARYLAND HEALTH CARE CORPORATION
Subdivision Name
Mountain Laurel Medical Center
Type
HRSA-Funded Health Center
340B ID
CHC06642-00
Entity Address
1027 Memorial Dr
Oakland, MD 21550-4343
Grant Number
H80CS06642
Participating Start Date
4/1/2013
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
GREGG'S PHARMACY WV, INC.
Pharmacy Address
101 GREGG MEMORIAL DR
TERRA ALTA, WV 26764-1071
Pharmacy Comments
Contract Details
Approval Date
7/11/2018
Contract Begin Date
10/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/13/2018
Agreement registered in error
Contacts
Covered Entity Signing Official
Charles Lee Wilt, CEO
(301) 533-3300 Ext: 3056
Contract Pharmacy Representative
Greggs Pharmacy Inc
Fred Gregg, Owner
(301) 334-2197
Signed By Date
7/11/2018
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