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KROGER COLUMBUS CENTRAL FILL #019
CH037920 RITCHIE COUNTY PRIMARY CARE ASSOCIATION, INC
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Covered Entity Details
Entity Name
RITCHIE COUNTY PRIMARY CARE ASSOCIATION, INC
Subdivision Name
Type
HRSA-Funded Health Center
340B ID
CH037920
Entity Address
135 SOUTH PENN AVE
HARRISVILLE, WV 26362
Grant Number
H80CS00843
Participating Start Date
1/1/2004
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
KROGER COLUMBUS CENTRAL FILL #019
Pharmacy Address
2270 RICKENBACKER PKWY W
COLUMBUS, OH 43217
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
Amy C. Yokum, CEO
(304) 643-4005 Ext: 3046131904
Contract Pharmacy Representative
Ritchie County Primary Care Association
Devan Shipe, Human Resources Assistant
(304) 643-4005
Signed By Date
10/15/2024
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