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WAL-MART PHARMACY 10-1544
CH034090 Community Care of West Virginia, Inc.
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Covered Entity Details
Entity Name
Community Care of West Virginia, Inc.
Subdivision Name
Community Care of Clay
Type
HRSA-Funded Health Center
340B ID
CH034090
Entity Address
122 Center St
Clay, WV 25043-7046
Grant Number
H80CS00080
Participating Start Date
9/9/2005
Last Recertification Date
2/17/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-1544
Pharmacy Address
550 EMILY DRIVE
CLARKSBURG, WV 26301
Pharmacy Comments
Contract Details
Approval Date
10/12/2018
Contract Begin Date
1/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/15/2018
Agreement registered in error
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
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