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FAIRFIELD PHARMACY
CH030880 VALLEY HEALTH SYSTEMS, INC.
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Covered Entity Details
Entity Name
VALLEY HEALTH SYSTEMS, INC.
Subdivision Name
VALLEY HEALTH - EAST HUNTINGTON
Type
HRSA-Funded Health Center
340B ID
CH030880
Entity Address
85 Donohoe Dr
Huntington, WV 25705
Grant Number
H80CS00614
Participating Start Date
4/1/2000
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
FAIRFIELD PHARMACY
Pharmacy Address
WAYNE PHARMACY
701 HENDRICKS ST
P.O. BOX 338
WAYNE, WV 25570-0338
Pharmacy Comments
Contract Details
Approval Date
4/9/2012
Contract Begin Date
4/9/2012
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/21/2019
Pharmacy closed
Contacts
Covered Entity Signing Official
STEVEN L. SHATTLS, CEO
(304) 525-3334 Ext: 5107
Contract Pharmacy Representative
Amos LeMaster, Owner
(304) 272-5122
Signed By Date
3/28/2012
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