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WALGREEN CO.
CH030900 SHENANDOAH VALLEY MEDICAL SYSTEM, INCORPORATED
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Covered Entity Details
Entity Name
SHENANDOAH VALLEY MEDICAL SYSTEM, INCORPORATED
Subdivision Name
SCH Martinsburg
Type
HRSA-Funded Health Center
340B ID
CH030900
Entity Address
99 TAVERN ROAD
MARTINSBURG, WV 25401
Grant Number
H80CS00781
Participating Start Date
10/1/2001
Last Recertification Date
2/28/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
WALGREENS #18956
74 JOSHUA M FREEMAN BLVD
RANSON, WV 25438-5694
Pharmacy Comments
Contract Details
Approval Date
7/5/2022
Contract Begin Date
10/1/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
11/15/2023
Pharmacy closed
Contacts
Covered Entity Signing Official
Michael Hassing, CEO
(304) 596-2610 Ext: 1062
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/5/2022
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