Contract Pharmacy Details

FRUTH PHARMACY #25
CH038440 WOMENCARE, INC.

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 #25

Pharmacy Address

FRUTH EXPRESS
701 LEE STREET
CHARLESTON, WV 25301

Pharmacy Comments

Contract Details

Approval Date

10/14/2014

Contract Begin Date

1/1/2015

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

2/12/2025
Pharmacy closed

Contacts

Covered Entity Signing Official

Martha Carter, CEO
(304) 760-6316

Contract Pharmacy Representative

Timothy Weber, Pharmacy Director
(304) 201-1630

Signed By Date

10/14/2014