340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WEST VIRGINIA CVS PHARMACY, L.L.C.
CH033100 CAMDEN-ON-GAULEY MEDICAL CENTER, INC.
Print
Covered Entity Details
Entity Name
CAMDEN-ON-GAULEY MEDICAL CENTER, INC.
Subdivision Name
CAMDEN-ON-GAULEY MEDICAL CENTER
Type
HRSA-Funded Health Center
340B ID
CH033100
Entity Address
10003 Webster Rd
Camden On Gauley, WV 26208
Grant Number
H80CS00078
Participating Start Date
12/1/1992
Last Recertification Date
2/23/2025
Pharmacy Details
Pharmacy Name
WEST VIRGINIA CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 05946
72 WHITEWATER AVE.
FAYETTEVILLE, WV 25840
Pharmacy Comments
Contract Details
Approval Date
4/2/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Margaret E Hickey, CEO
(304) 226-5725 Ext: 131
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
4/2/2025
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session