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SUPER AID PHARMACY LLC
CH03099A Monroe County Health Center
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Covered Entity Details
Entity Name
Monroe County Health Center
Subdivision Name
PETERSTOWN CLINIC
Type
HRSA-Funded Health Center
340B ID
CH03099A
Entity Address
2869 Seneca Trail South
PETERSTOWN, WV 24963-0580
Grant Number
H80CS00384
Participating Start Date
4/1/2004
Last Recertification Date
2/19/2025
Pharmacy Details
Pharmacy Name
SUPER AID PHARMACY LLC
Pharmacy Address
247 OLD VA AVE
PO BOX 325
RICH CREEK, VA 24147
Pharmacy Comments
Contract Details
Approval Date
4/15/2020
Contract Begin Date
7/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/7/2023
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Jim Nelson, CEO
(304) 772-3064 Ext: 129
Contract Pharmacy Representative
Super Aid Pharmacy
Todd A Smith, Owner
(540) 726-2993
Signed By Date
4/15/2020
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