340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
JUDY'S DRUG STORE INC
CAH511316-00 GRANT MEMORIAL HOSPITAL, INC.
Print
Covered Entity Details
Entity Name
GRANT MEMORIAL HOSPITAL, INC.
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH511316-00
Entity Address
117 HOSPITAL DRIVE
PETERSBURG, WV 26847
Medicare Provider Number
511316
Participating Start Date
8/12/2010
Last Recertification Date
8/16/2024
Pharmacy Details
Pharmacy Name
JUDY'S DRUG STORE INC
Pharmacy Address
24 N MAIN ST
PETERSBURG, WV 26847-1518
Pharmacy Comments
Contract Details
Approval Date
1/11/2023
Contract Begin Date
4/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Kari L Evans, Corporate Compliance Officer
(304) 257-5816
Contract Pharmacy Representative
Judy's Drug Store
Emily Judy, Owner/Pharmacist
(304) 257-1044
Signed By Date
1/11/2023
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session