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TRI-COUNTY HEALTH CLINIC INC DBA PRIMARY
CH03409A Community Care of West Virginia, Inc.
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Covered Entity Details
Entity Name
Community Care of West Virginia, Inc.
Subdivision Name
Community Care of Big Otter
Type
HRSA-Funded Health Center
340B ID
CH03409A
Entity Address
797 Clinic Dr
Ivydale, WV 25113-8263
Grant Number
H80CS00080
Participating Start Date
9/9/2005
Last Recertification Date
2/17/2025
Pharmacy Details
Pharmacy Name
TRI-COUNTY HEALTH CLINIC INC DBA PRIMARY
Pharmacy Address
122 CENTER STREET
PO BOX 939
CLAY, WV 25043
Pharmacy Comments
3/26/10 UPDATED ADD (WAS 125 CENTER STREET, PO BOX 147)
Contract Details
Approval Date
8/1/2009
Contract Begin Date
8/1/2009
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/30/2020
Agreement registered in error
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
TERRY L. CRAIG, PHARMACY DIRECTOR
(304) 924-6784
Signed By Date
6/22/2009
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