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K-VA-T FOOD STORES INC
CH031810 SOUTHWEST VIRGINIA COMMUNITY HEALTH SYSTEMS, INC.
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Covered Entity Details
Entity Name
SOUTHWEST VIRGINIA COMMUNITY HEALTH SYSTEMS, INC.
Subdivision Name
Saltville Community Health Center
Type
HRSA-Funded Health Center
340B ID
CH031810
Entity Address
308 WEST MAIN STREET
SALTVILLE, VA 24370
Grant Number
H80CS00278
Participating Start Date
1/1/2002
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
K-VA-T FOOD STORES INC
Pharmacy Address
FOOD CITY PHARMACY #823
151 COOK STREET
ABINGDON, VA 24210
Pharmacy Comments
Contract Details
Approval Date
10/1/2024
Contract Begin Date
1/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Bryan Haynes, CEO
(276) 496-4492 Ext: 1004
Contract Pharmacy Representative
Food City
Connie Reed, Administrative Assistant
(276) 623-5100 Ext: 5738
Signed By Date
10/1/2024
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