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WAL-MART PHARMACY 10-2810
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
WAL-MART PHARMACY 10-2810
Pharmacy Address
97 WILLIAMS DRIVE
SPENCER, WV 25276
Pharmacy Comments
Contract Details
Approval Date
4/11/2014
Contract Begin Date
7/1/2014
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Kip Smith, CEO
(304) 927-2241 Ext: 170
Contract Pharmacy Representative
Wal-Mart
Marcus Osborne, V.P. Health & Wellness, Sales & Contracting
(479) 204-9374
Signed By Date
4/11/2014
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