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MARTIN'S PHARMACY
CHC26516-02 Free Clinic Of The New River Valley Inc
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Covered Entity Details
Entity Name
Free Clinic Of The New River Valley Inc
Subdivision Name
Pulaski/Radford Clinic
Type
HRSA-Funded Health Center
340B ID
CHC26516-02
Entity Address
5826 RUEBUSH RD STE B
Dublin, VA 24084-2252
Grant Number
H80CS26516
Participating Start Date
10/1/2019
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
MARTIN'S PHARMACY
Pharmacy Address
WILLIAM H HALE ET AL
400 N WASHINGTON AVE
PO BOX 699
PULASKI, VA 24301
Pharmacy Comments
Contract Details
Approval Date
4/21/2023
Contract Begin Date
4/24/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Matthew Pitonyak, Chief Financial Officer
(540) 232-9960
Contract Pharmacy Representative
Martin's Pharmacy
Candice Shay, Pharmacist in Charge
(540) 518-7088
Signed By Date
4/21/2023
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