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MARSHALL PHARMACY
DSH510055 Cabell Huntington Hospital, Inc.
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Covered Entity Details
Entity Name
Cabell Huntington Hospital, Inc.
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH510055
Entity Address
1340 Hal Greer Blvd.
Huntington, WV 25701-0195
Medicare Provider Number
510055
Participating Start Date
4/1/2005
Last Recertification Date
9/5/2024
Pharmacy Details
Pharmacy Name
MARSHALL PHARMACY
Pharmacy Address
1249 15TH ST
HUNTINGTON, WV 25701-3662
Pharmacy Comments
Contract Details
Approval Date
10/4/2021
Contract Begin Date
10/4/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
David M Ward, Sr. Vp/Cfo
(304) 526-2055
Contract Pharmacy Representative
Marshall Pharmacy, Inc.
Jeffrey Fenerty, Director of Pharmacy Services
(304) 691-8770
Signed By Date
10/4/2021
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