340B Drug Pricing Program Database

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Effective Sunday, September 1, OPA is implementing a change to the export format for Medicaid and NPI numbers. This change affects covered entity exports that include Medicaid and/or NPI billing numbers, and the CE Daily Report in Excel format. If the number is associated with more than one state, all the states will be listed between one set of parentheses following the number - for example, 1275575227 (IN,MI,OH). This change is necessary to ensure that the exported data does not exceed Excel’s limit for field length.

PILLPACK LLC
CH033080 RAINELLE MEDICAL CENTER

Covered Entity Details

RAINELLE MEDICAL CENTER
HRSA-Funded Health Center
CH033080
176 Medical Center Drive
Rainelle, WV 25962-1013
H80CS18278
4/1/1996
2/1/2024


Pharmacy Details

AMAZON PHARMACY #005
20416 72ND AVE S
KENT, WA 98032-2319

Contract Details

7/16/2024
10/1/2024


Contacts


KRISTI ATHA-RADER, CEO
(304) 438-6188 Ext: 1006



AMAZON PHARMACY
JOHN M LAVIN, MANAGING OFFICER
(602) 793-8552
7/16/2024