Contract Pharmacy Details

DRUG EMPORIUM
DSH510055 Cabell Huntington Hospital, Inc.

Covered Entity Details

Entity Name

Cabell Huntington Hospital, Inc.

Subdivision Name

Type

Disproportionate Share Hospital

340B ID

DSH510055

Entity Address

1340 Hal Greer Blvd.
Huntington, WV 25701-0195

Medicare Provider Number

510055

Participating Start Date

4/1/2005

Last Recertification Date

9/5/2024

Pharmacy Details

Pharmacy Name

DRUG EMPORIUM

Pharmacy Address

3 MALL RD
BARBOURSVILLE, WV 25504

Pharmacy Comments

Contract Details

Approval Date

1/2/2020

Contract Begin Date

4/1/2020

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

9/11/2024
Pharmacy closed

Contacts

Covered Entity Signing Official

David M Ward, Sr. Vp/Cfo
(304) 526-2055

Contract Pharmacy Representative

Drug Emporium WV
Sherry Witters, Director of Pharmacy Operations
(304) 345-4836

Signed By Date

1/2/2020

340B Drug Pricing Program Database