Contract Pharmacy Details

RITE AID OF WEST VIRGINIA, INC.
CH030880 VALLEY HEALTH SYSTEMS, INC.

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

RITE AID OF WEST VIRGINIA, INC.

Pharmacy Address

RITE AID #1688
2418 JACKSON AVENUE
PT PLEASANT, WV 25550

Pharmacy Comments

Contract Details

Approval Date

9/7/2012

Contract Begin Date

9/7/2012

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

2/9/2018
Ownership change

Contacts

Covered Entity Signing Official

STEVEN L. SHATTLS, CEO
(304) 525-3334 Ext: 5107

Contract Pharmacy Representative

Rite Aid
Tammy Royer, Group Vice President, Managed Care
(717) 730-8217

Signed By Date

8/20/2012

340B Drug Pricing Program Database