340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WAL-MART PHARMACY 10-1653
CH034210 Community Care of West Virginia, Inc.
Print
Covered Entity Details
Entity Name
Community Care of West Virginia, Inc.
Subdivision Name
Community Care of Rock Cave
Type
HRSA-Funded Health Center
340B ID
CH034210
Entity Address
78 Queens Alley Rd
ROCK CAVE, WV 26234-0217
Grant Number
H80CS00080
Participating Start Date
4/1/2003
Last Recertification Date
2/17/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-1653
Pharmacy Address
110 BERLIN ROAD
WESTON, WV 26452
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
Richard G Simon, CEO
(304) 924-6262
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
10/12/2018
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