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REED'S DRUG STORE, LLC
CAH511315-00 POTOMAC VALLEY HOSPITAL
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Covered Entity Details
Entity Name
POTOMAC VALLEY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH511315-00
Entity Address
100 PIN OAK LANE
KEYSER, WV 26726
Medicare Provider Number
511315
Participating Start Date
4/1/2016
Last Recertification Date
8/12/2024
Pharmacy Details
Pharmacy Name
REED'S DRUG STORE, LLC
Pharmacy Address
41 PIN OAK LN
KEYSER, WV 26726-5914
Pharmacy Comments
Contract Details
Approval Date
1/15/2025
Contract Begin Date
4/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Justin Gibson, VP of Finance-North Region
(304) 598-4256
Contract Pharmacy Representative
Reed's Drug Store, LLC
Mark Reed, Owner, President, and CEO
(304) 788-1643
Signed By Date
1/15/2025
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