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CHAPMANVILLE PHARMACY INC
FQHCLA337 RURAL HEALTH ACCESS CORPORATION
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Covered Entity Details
Entity Name
RURAL HEALTH ACCESS CORPORATION
Subdivision Name
Coalfield Health Center
Type
Health Center Program Look-Alike
340B ID
FQHCLA337
Entity Address
386 Airport Road
Chapmanville, WV 25508
Grant Number
LALCS00112
Participating Start Date
1/1/2016
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
CHAPMANVILLE PHARMACY INC
Pharmacy Address
289 CRAWLEY CREEK RD
CHAPMANVILLE PHARMACY INC
CHAPMANVILLE, WV 25508-7403
Pharmacy Comments
Contract Details
Approval Date
4/8/2019
Contract Begin Date
7/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2023
Pharmacy closed
Contacts
Covered Entity Signing Official
Kristin Dial, Executive Director
(304) 855-1228
Contract Pharmacy Representative
Chapmanville Pharmacy Inc.
Maria Hatfield, Co-owner
(304) 855-9502
Signed By Date
4/8/2019
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