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MEDICINE CABINET PHARMACY
CHC26637-00 WILLIAMSON HEALTH AND WELLNESS CENTER
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Covered Entity Details
Entity Name
WILLIAMSON HEALTH AND WELLNESS CENTER
Subdivision Name
Williamson Health and Wellness Center
Type
HRSA-Funded Health Center
340B ID
CHC26637-00
Entity Address
184 E. 2nd Avenue, Suite 210
Williamson, WV 25661-3602
Grant Number
H80CS26637
Participating Start Date
1/1/2017
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
MEDICINE CABINET PHARMACY
Pharmacy Address
MEDICINE CABINET PHARMACY
50 LINCOLN STREET
PO BOX 600
KERMIT, WV 25674
Pharmacy Comments
Contract Details
Approval Date
7/9/2021
Contract Begin Date
7/13/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/1/2022
Ownership change
Contacts
Covered Entity Signing Official
Christopher Beckett, CEO
(304) 235-3400
Contract Pharmacy Representative
Medicine Cabinet
Larry Bartoe, Pharmacy Director
(304) 393-3386
Signed By Date
7/9/2021
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