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GIANT EAGLE PHARMACY #0059
CAH511312-00 PRESTON MEMORIAL HOSPITAL
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Covered Entity Details
Entity Name
PRESTON MEMORIAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH511312-00
Entity Address
150 MEMORIAL DRIVE
KINGWOOD, WV 26537-1495
Medicare Provider Number
511312
Participating Start Date
8/9/2010
Last Recertification Date
8/29/2024
Pharmacy Details
Pharmacy Name
GIANT EAGLE PHARMACY #0059
Pharmacy Address
130 GREEN BAG ROAD
MORGANTOWN, WV 26501
Pharmacy Comments
Contract Details
Approval Date
7/5/2019
Contract Begin Date
10/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
5/1/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
KEVIN GESSLER, Vice President Financial Services
(304) 329-1400 Ext: 1120
Contract Pharmacy Representative
Giant Eagle, Inc.
Mike Bianco, Senior Pharmacy Manager
(412) 967-3718
Signed By Date
7/5/2019
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