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WEST VIRGINIA CVS PHARMACY, L.L.C.
CH032600 New River Health Association, Inc.
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Covered Entity Details
Entity Name
New River Health Association, Inc.
Subdivision Name
New River Health Medical Mall
Type
HRSA-Funded Health Center
340B ID
CH032600
Entity Address
497 Mall Road
Oak Hill, WV 25901
Grant Number
H80CS00075
Participating Start Date
10/1/1999
Last Recertification Date
3/3/2025
Pharmacy Details
Pharmacy Name
WEST VIRGINIA CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY #6311
11078 MIDLAND TRL
GAULEY BRIDGE, WV 25085
Pharmacy Comments
Contract Details
Approval Date
7/1/2021
Contract Begin Date
10/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/3/2024
Pharmacy closed
Contacts
Covered Entity Signing Official
John R. Schultz, Chief Executive Officer
(304) 465-2274
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
7/1/2021
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