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BLACK DIAMOND PHARMACY
CH031000 TUG RIVER HEALTH ASSOCIATION, INC
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Covered Entity Details
Entity Name
TUG RIVER HEALTH ASSOCIATION, INC
Subdivision Name
TUG RIVER HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH031000
Entity Address
5883 Black Diamond Highway
GARY, WV 24836-0507
Grant Number
H80CS00701
Participating Start Date
10/1/2016
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
BLACK DIAMOND PHARMACY
Pharmacy Address
33800 COAL HERITAGE ROAD
PO BOX 397
NORTHFORK, WV 24868
Pharmacy Comments
Contract Details
Approval Date
8/30/2016
Contract Begin Date
10/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
8/24/2023
Ownership change
Contacts
Covered Entity Signing Official
Tim Crofton, Executive Director
(304) 448-2101
Contract Pharmacy Representative
David Dunson, Owner
(304) 436-4932
Signed By Date
8/30/2016
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