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FLAT IRON PHARMACY, LLC
DSH510086 WELCH COMMUNITY HOSPITAL
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Covered Entity Details
Entity Name
WELCH COMMUNITY HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH510086
Entity Address
454 MCDOWELL STREET
WELCH, WV 24801
Medicare Provider Number
510086
Participating Start Date
1/1/2025
Last Recertification Date
Pharmacy Details
Pharmacy Name
FLAT IRON PHARMACY, LLC
Pharmacy Address
O/A FLAT IRON DRUG STORE
69 MCDOWELL ST
FLAT IRON PHARMACY
WELCH, WV 24801-2480
Pharmacy Comments
Contract Details
Approval Date
1/14/2020
Contract Begin Date
4/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2021
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Johnny R Brant, CFO
(304) 436-8461
Contract Pharmacy Representative
Colony Drug
Aaron Trager, Owner
(416) 471-8169
Signed By Date
1/14/2020
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