340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
CMC PHARMACY, LLC
DSH510007 ST. MARYS MEDICAL CENTER INC.
Print
Covered Entity Details
Entity Name
ST. MARYS MEDICAL CENTER INC.
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH510007
Entity Address
2900 FIRST AVENUE
HUNTINGTON, WV 25702-1241
Medicare Provider Number
510007
Participating Start Date
7/1/2016
Last Recertification Date
9/5/2024
Pharmacy Details
Pharmacy Name
CMC PHARMACY, LLC
Pharmacy Address
BIOMATRIX SPECIALTY PHARMACY WV
3100 MACCORKLE AVE SE STE 100
CHARLESTON, WV 25304-1215
Pharmacy Comments
Contract Details
Approval Date
10/9/2018
Contract Begin Date
1/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
2/17/2023
Pharmacy closed
Contacts
Covered Entity Signing Official
Angela Swearingen, VP Finance/CFO
(304) 526-1224
Contract Pharmacy Representative
Med Center Specialty Pharmacy
Nicholas Karalis, President
(610) 545-6040 Ext: 206
Signed By Date
10/9/2018
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