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FLAT IRON DRUG STORE INC
CH031000 TUG RIVER HEALTH ASSOCIATION, INC
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Covered Entity Details
Entity Name
TUG RIVER HEALTH ASSOCIATION, INC
Subdivision Name
TUG RIVER HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH031000
Entity Address
5883 Black Diamond Highway
GARY, WV 24836-0507
Grant Number
H80CS00701
Participating Start Date
10/1/2016
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
FLAT IRON DRUG STORE INC
Pharmacy Address
69 MCDOWELL ST
WELCH, WV 24801
Pharmacy Comments
Contract Details
Approval Date
10/16/2018
Contract Begin Date
1/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
11/5/2018
Agreement registered in error
Contacts
Covered Entity Signing Official
Tim Crofton, Executive Director
(304) 448-2101
Contract Pharmacy Representative
Colony Drug
Aaron Trager, Owner
(416) 471-8169
Signed By Date
10/16/2018
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