340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WAL-MART PHARMACY 10-1714
CH03082D MONONGAHELA VALLEY ASSOCIATION OF HEALTH CENTERS, INC
Print
Covered Entity Details
Entity Name
MONONGAHELA VALLEY ASSOCIATION OF HEALTH CENTERS, INC
Subdivision Name
MVA Health Center - East Fairmont High School Wellness Center
Type
HRSA-Funded Health Center
340B ID
CH03082D
Entity Address
1993 Airport Rd
Fairmont, WV 26554-9138
Grant Number
H80CS00383
Participating Start Date
4/1/2017
Last Recertification Date
2/19/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-1714
Pharmacy Address
32 TYGART MALL LOOP
FAIRMONT, WV 26554
Pharmacy Comments
Contract Details
Approval Date
1/16/2024
Contract Begin Date
4/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Kevin Crockett, Acting CEO
(304) 367-8740
Contract Pharmacy Representative
CVS
McKenzie Heffernan, Senior Account Manager
(518) 226-2975
Signed By Date
1/16/2024
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