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FRUTH PHARMACY OF MILTON INC
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
FRUTH PHARMACY OF MILTON INC
Pharmacy Address
FRUTH PHARMACY #5
16 PERRY MORRIS SQ
MILTON, WV 25541
Pharmacy Comments
12/30/11-changed the state from WI to WV. jlh
Contract Details
Approval Date
10/16/2021
Contract Begin Date
1/1/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/19/2024
Pharmacy closed
Contacts
Covered Entity Signing Official
MARYBETH BRUBECK, EXECUTIVE VICE PRESIDENT/CHIEF FINANCIAL OFFICER
(304) 525-3334 Ext: 5110
Contract Pharmacy Representative
Fruth Pharmacy
Andy Becker, VP Pharmacy
(304) 675-1612 Ext: 10117
Signed By Date
10/16/2021
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