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RITE AID OF WEST VIRGINIA, INC.
CH034120 ROANE FAMILY HEALTH CARE
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Covered Entity Details
Entity Name
ROANE FAMILY HEALTH CARE
Subdivision Name
ROANE COUNTY FAMILY HEALTH CARE
Type
HRSA-Funded Health Center
340B ID
CH034120
Entity Address
146 Williams Dr
Spencer, WV 25276-1826
Grant Number
H80CS00388
Participating Start Date
7/1/2004
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
RITE AID OF WEST VIRGINIA, INC.
Pharmacy Address
RITE AID #2694
8699 ELK RIVER ROAD NORTH
CLENDENIN, WV 25045
Pharmacy Comments
Contract Details
Approval Date
4/7/2014
Contract Begin Date
7/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
2/12/2018
Ownership change
Contacts
Covered Entity Signing Official
Kip Smith, CEO
(304) 927-2241 Ext: 170
Contract Pharmacy Representative
Rite Aid
Tammy Royer, Group Vice President, Managed Care
(717) 730-8217
Signed By Date
4/7/2014
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