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WAL-MART PHARMACY 10-2576
CH030880 VALLEY HEALTH SYSTEMS, INC.
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Covered Entity Details
Entity Name
VALLEY HEALTH SYSTEMS, INC.
Subdivision Name
VALLEY HEALTH - EAST HUNTINGTON
Type
HRSA-Funded Health Center
340B ID
CH030880
Entity Address
85 Donohoe Dr
Huntington, WV 25705
Grant Number
H80CS00614
Participating Start Date
4/1/2000
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-2576
Pharmacy Address
100 NITRO MARKETPLACE
CROSS LANES, WV 25313
Pharmacy Comments
Contract Details
Approval Date
7/15/2020
Contract Begin Date
10/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/15/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
STEVEN L. SHATTLS, CEO
(304) 525-3334 Ext: 5107
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
7/15/2020
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