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WEST VIRGINIA CVS PHARMACY, L.L.C.
CH037920 RITCHIE COUNTY PRIMARY CARE ASSOCIATION, INC
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Covered Entity Details
Entity Name
RITCHIE COUNTY PRIMARY CARE ASSOCIATION, INC
Subdivision Name
Type
HRSA-Funded Health Center
340B ID
CH037920
Entity Address
135 SOUTH PENN AVE
HARRISVILLE, WV 26362
Grant Number
H80CS00843
Participating Start Date
1/1/2004
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WEST VIRGINIA CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 07604
2323 MURDOCH AVE
PARKERSBURG, WV 26101
Pharmacy Comments
Contract Details
Approval Date
1/14/2021
Contract Begin Date
2/12/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Amy C. Yokum, CEO
(304) 643-4005 Ext: 3046131904
Contract Pharmacy Representative
Ritchie County Primary Care Association
Devan Shipe, Human Resources Assistant
(304) 643-4005
Signed By Date
1/14/2021
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