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MARTIN'S PHARMACY #6282
CAH491307-00 PAGE MEMORIAL HOSPITAL
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Covered Entity Details
Entity Name
PAGE MEMORIAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH491307-00
Entity Address
200 MEMORIAL DRIVE
LURAY, VA 22835
Medicare Provider Number
491307
Participating Start Date
9/22/2010
Last Recertification Date
8/23/2024
Pharmacy Details
Pharmacy Name
MARTIN'S PHARMACY #6282
Pharmacy Address
409 SOUTH ST
FRONT ROYAL, VA 22630
Pharmacy Comments
Contract Details
Approval Date
4/12/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Peter F. Gallagher, CFO
(540) 536-8031
Contract Pharmacy Representative
The Giant Company
Nick Koch, Regional Pharmacy Manager
(484) 655-0805
Signed By Date
4/12/2023
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