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FRUTH PHARMACY #23
CH038440 WOMENCARE, INC.
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Covered Entity Details
Entity Name
WOMENCARE, INC.
Subdivision Name
FamilyCare Health Center - Teays Valley
Type
HRSA-Funded Health Center
340B ID
CH038440
Entity Address
97 Great Teays Blvd STE 6
Scott Depot, WV 25560-9816
Grant Number
H80CS00827
Participating Start Date
7/1/2000
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
FRUTH PHARMACY #23
Pharmacy Address
FRUTH PHARMACY #23
4539 TEAYS VALLEY ROAD
SCOTT DEPOT, WV 25560-7806
Pharmacy Comments
Contract Details
Approval Date
11/17/2005
Contract Begin Date
11/17/2005
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
11/17/2005
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