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WILLIAMSON PHARMACY
CHC26637-00 WILLIAMSON HEALTH AND WELLNESS CENTER
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Covered Entity Details
Entity Name
WILLIAMSON HEALTH AND WELLNESS CENTER
Subdivision Name
Williamson Health and Wellness Center
Type
HRSA-Funded Health Center
340B ID
CHC26637-00
Entity Address
184 E. 2nd Avenue, Suite 210
Williamson, WV 25661-3602
Grant Number
H80CS26637
Participating Start Date
1/1/2017
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
WILLIAMSON PHARMACY
Pharmacy Address
54 W 2ND AVE
WILLIAMSON, WV 25661
Pharmacy Comments
Contract Details
Approval Date
4/9/2019
Contract Begin Date
7/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Christopher Beckett, CEO
(304) 235-3400
Contract Pharmacy Representative
Williamson Pharmacy
Hershel Baker Jr., Owner
(304) 235-3784
Signed By Date
4/9/2019
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