Contract Pharmacy Details

FAMILY LIFE PHARMACY
FQHCLA128A HYGEIA FACILITIES FOUNDATION, INC.

Covered Entity Details

Entity Name

HYGEIA FACILITIES FOUNDATION, INC.

Subdivision Name

OCEANA MEDICAL CENTER

Type

Health Center Program Look-Alike

340B ID

FQHCLA128A

Entity Address

26 TRINITY LANE
OCEANA, WV 24870

Grant Number

LALCS00039

Participating Start Date

4/1/2004

Last Recertification Date

2/15/2023

Entity Termination Date

7/1/2023

Pharmacy Details

Pharmacy Name

FAMILY LIFE PHARMACY

Pharmacy Address

FAMILY LIFE PHARMACY
21189 COAL RIVER RD
COMFORT, WV 25049

Pharmacy Comments

Contract Details

Approval Date

7/10/2015

Contract Begin Date

10/1/2015

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

7/1/2023
Covered Entity Terminated

Contacts

Covered Entity Signing Official

Margaret L. Martin, Executive Director
(304) 854-1323

Contract Pharmacy Representative

Family Life Pharmacy
Stephanie Massey, Co-Owner
(304) 837-3777

Signed By Date

7/10/2015

340B Drug Pricing Program Database