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RPHC LLC
CAH511309-00 WAR MEMORIAL HOSPITAL INC
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Covered Entity Details
Entity Name
WAR MEMORIAL HOSPITAL INC
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH511309-00
Entity Address
1 HEALTHY WAY
BERKELEY SPRINGS, WV 25411
Medicare Provider Number
511309
Participating Start Date
9/30/2010
Last Recertification Date
8/23/2024
Pharmacy Details
Pharmacy Name
RPHC LLC
Pharmacy Address
343 N. PENNSYLVANIA AVE.
HANCOCK, MD 21750
Pharmacy Comments
Contract Details
Approval Date
10/14/2021
Contract Begin Date
1/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Peter F. Gallagher, CFO
(540) 536-8031
Contract Pharmacy Representative
Reed's Pharmacy #2
Ken Reed, Ownder
(304) 258-3800
Signed By Date
10/14/2021
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