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WALGREEN CO.
CH03082F MONONGAHELA VALLEY ASSOCIATION OF HEALTH CENTERS, INC
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Covered Entity Details
Entity Name
MONONGAHELA VALLEY ASSOCIATION OF HEALTH CENTERS, INC
Subdivision Name
MVA Health Center - Mannington
Type
HRSA-Funded Health Center
340B ID
CH03082F
Entity Address
118 Market Street
Mannington, WV 26582-1131
Grant Number
H80CS00383
Participating Start Date
10/1/2017
Last Recertification Date
2/19/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
WALGREENS #18959
109 E MAIN ST
MANNINGTON, WV 26582-1126
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
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/16/2024
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