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GILBERT 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
GILBERT PHARMACY
Pharmacy Address
P.O. BOX 430
761 LARRY JOE HARLESS DRIVE
GILBERT, WV 25621-0430
Pharmacy Comments
Contract Details
Approval Date
4/14/2020
Contract Begin Date
7/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/13/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Christopher Beckett, CEO
(304) 235-3400
Contract Pharmacy Representative
Gilbert Pharmacy,INC
George Smith, President
(304) 664-6337
Signed By Date
4/14/2020
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