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LOOP PLAZA DISCOUNT PHARMACY
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
LOOP PLAZA DISCOUNT PHARMACY
Pharmacy Address
LOOP COMPOUNDING PHARMACY
72 SIXTH AVENUE
P.O. BOX 480
SAINT ALBANS, WV 25177-2517
Pharmacy Comments
Contract Details
Approval Date
1/17/2013
Contract Begin Date
4/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/14/2017
Ownership change
Contacts
Covered Entity Signing Official
Martha Carter, CEO
(304) 760-6316
Contract Pharmacy Representative
Erin E. Rudge, Vice President
(304) 727-7859
Signed By Date
1/3/2013
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