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NEW MARTINSVILLE PHARMACY
CAH511304-00 Marietta Memorial Hospital of Tyler County, Inc. DBA Sistersville General Hospital
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Covered Entity Details
Entity Name
Marietta Memorial Hospital of Tyler County, Inc. DBA Sistersville General Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH511304-00
Entity Address
314 South Wells St
Sistersville, WV 26175
Medicare Provider Number
511304
Participating Start Date
1/1/2012
Last Recertification Date
8/23/2024
Pharmacy Details
Pharmacy Name
NEW MARTINSVILLE PHARMACY
Pharmacy Address
193 N STATE ROUTE 2
NEW MARTINSVILLE, WV 26155
Pharmacy Comments
Contract Details
Approval Date
10/12/2018
Contract Begin Date
1/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Brandon Chadock, CEO
(304) 447-2420
Contract Pharmacy Representative
New Martinsville Pharmacy
Jason Turner, Owner
(304) 845-0390
Signed By Date
10/12/2018
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