340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
SHRIVERS PHARMACY #8
CAH361330-03 HOCKING VALLEY COMMUNITY HOSPITAL
Print
Covered Entity Details
Entity Name
HOCKING VALLEY COMMUNITY HOSPITAL
Subdivision Name
HVCH OP Med Arts - Orthopedic Physician Practice Location
Type
Critical Access Hospital
340B ID
CAH361330-03
Entity Address
819 STATE ROUTE 664 N
LOGAN, OH 43138
Medicare Provider Number
361330
Outpatient Facility Provider Number
Participating Start Date
7/1/2020
Last Recertification Date
9/3/2024
Pharmacy Details
Pharmacy Name
SHRIVERS PHARMACY #8
Pharmacy Address
21 HOCKING MALL
LOGAN, OH 43138
Pharmacy Comments
Contract Details
Approval Date
4/14/2020
Contract Begin Date
7/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Julie E Grow, CFO
(740) 380-8389
Contract Pharmacy Representative
Coler Long Term Care/Shrivers Pharmacies
Greg Paisley, Chief Operating Officer
(740) 454-2086
Signed By Date
4/14/2020
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session