Contract Pharmacy Details

SOUTHWEST VIRGINIA COMMUNITY PHARMACY
CH031810 SOUTHWEST VIRGINIA COMMUNITY HEALTH SYSTEMS, INC.

Covered Entity Details

Entity Name

SOUTHWEST VIRGINIA COMMUNITY HEALTH SYSTEMS, INC.

Subdivision Name

Saltville Community Health Center

Type

HRSA-Funded Health Center

340B ID

CH031810

Entity Address

308 WEST MAIN STREET
SALTVILLE, VA 24370

Grant Number

H80CS00278

Participating Start Date

1/1/2002

Last Recertification Date

2/11/2025

Pharmacy Details

Pharmacy Name

SOUTHWEST VIRGINIA COMMUNITY PHARMACY

Pharmacy Address

2195 EUCLID AVE STE 7
BRISTOL, VA 24201-3655

Pharmacy Comments

Contract Details

Approval Date

12/6/2016

Contract Begin Date

1/1/2017

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

5/5/2020
Covered Entity Terminated

Contacts

Covered Entity Signing Official

Bryan Haynes, CEO
(276) 496-4492 Ext: 1004

Contract Pharmacy Representative

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Cristie Pellegrini, National Pharmacy Director
(512) 596-2930 Ext: 706

Signed By Date

12/6/2016

340B Drug Pricing Program Database