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WEST VIRGINIA CVS PHARMACY, L.L.C.
CH038800 WIRT COUNTY HEALTH SERVICE ASSOCIATION, INC
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Covered Entity Details
Entity Name
WIRT COUNTY HEALTH SERVICE ASSOCIATION, INC
Subdivision Name
Wirt County Family Care
Type
HRSA-Funded Health Center
340B ID
CH038800
Entity Address
483 COURT STREET
ELIZABETH, WV 26143-0609
Grant Number
H80CS00256
Participating Start Date
4/1/2004
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
WEST VIRGINIA CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 07604
2323 MURDOCH AVE
PARKERSBURG, WV 26101
Pharmacy Comments
Contract Details
Approval Date
10/15/2024
Contract Begin Date
1/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Robby Eugene Dudley, CEO
(304) 275-3301
Contract Pharmacy Representative
Wirt County Health Service Association, INC
Robby Eugene Dudley, CEO
(304) 275-3301
Signed By Date
10/15/2024
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