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PIERPONT LANDING PHARMACY
DSH510001 WEST VIRGINIA UNIVERSITY HOSPITALS, INC.
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Covered Entity Details
Entity Name
WEST VIRGINIA UNIVERSITY HOSPITALS, INC.
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH510001
Entity Address
1 MEDICAL CENTER DRIVE
MORGANTOWN, WV 26506
Medicare Provider Number
510001
Participating Start Date
7/1/2002
Last Recertification Date
8/15/2024
Pharmacy Details
Pharmacy Name
PIERPONT LANDING PHARMACY
Pharmacy Address
7000 MID ATLANTIC DR
MORGANTOWN, WV 26508
Pharmacy Comments
Contract Details
Approval Date
10/15/2020
Contract Begin Date
1/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Melissa D McCoy, Chief Financial Officer
(304) 598-4554
Contract Pharmacy Representative
DBS LLC, dba Pierpont Landing Pharmacy
Michael LeMasters, Managing Member, PIC
(304) 594-9955
Signed By Date
10/15/2020
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