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ARACOMA DRUG CO OF CHAPMANVILLE
FQHCLA337 RURAL HEALTH ACCESS CORPORATION
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Covered Entity Details
Entity Name
RURAL HEALTH ACCESS CORPORATION
Subdivision Name
Coalfield Health Center
Type
Health Center Program Look-Alike
340B ID
FQHCLA337
Entity Address
386 Airport Road
Chapmanville, WV 25508
Grant Number
LALCS00112
Participating Start Date
1/1/2016
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
ARACOMA DRUG CO OF CHAPMANVILLE
Pharmacy Address
772 MAIN ST
CHAPMANVILLE, WV 25508-4533
Pharmacy Comments
Contract Details
Approval Date
3/12/2021
Contract Begin Date
3/12/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Kristin Dial, Executive Director
(304) 855-1228
Contract Pharmacy Representative
ARACOMA DRUG CO OF CHAPMANVILLE
Michael Baker, Pharmacists
(304) 855-4541
Signed By Date
3/12/2021
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