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PRIME THERAPEUTICS SPECIALTY PHARMACY LL
CH030880 VALLEY HEALTH SYSTEMS, INC.
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Covered Entity Details
Entity Name
VALLEY HEALTH SYSTEMS, INC.
Subdivision Name
VALLEY HEALTH - EAST HUNTINGTON
Type
HRSA-Funded Health Center
340B ID
CH030880
Entity Address
85 Donohoe Dr
Huntington, WV 25705
Grant Number
H80CS00614
Participating Start Date
4/1/2000
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
PRIME THERAPEUTICS SPECIALTY PHARMACY LL
Pharmacy Address
ALLIANCERX WALGREENS PRIME #16568
2354 COMMERCE PARK DRIVE
SUITE 100
ORLANDO, FL 32819-9992
Pharmacy Comments
Contract Details
Approval Date
4/14/2021
Contract Begin Date
7/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2022
Pharmacy closed
Contacts
Covered Entity Signing Official
MARYBETH BRUBECK, EXECUTIVE VICE PRESIDENT/CHIEF FINANCIAL OFFICER
(304) 525-3334 Ext: 5110
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/14/2021
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