Contract Pharmacy Details

S & F PHARMACY
DSH510055 Cabell Huntington Hospital, Inc.

Covered Entity Details

Entity Name

Cabell Huntington Hospital, Inc.

Subdivision Name

Type

Disproportionate Share Hospital

340B ID

DSH510055

Entity Address

1340 Hal Greer Blvd.
Huntington, WV 25701-0195

Medicare Provider Number

510055

Participating Start Date

4/1/2005

Last Recertification Date

9/5/2024

Pharmacy Details

Pharmacy Name

S & F PHARMACY

Pharmacy Address

FRUTH PHARMACY # 12
DBA FRUTH PHCY STORE #12
1419-US RT 60 EAST
HUNTINGTON, WV 25705

Pharmacy Comments

Contract Details

Approval Date

7/17/2013

Contract Begin Date

10/1/2013

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

11/1/2023
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

David M. Ward, SENIOR VP AND CfO
(304) 526-2274

Contract Pharmacy Representative

Craig Kimble, Corporate Director of Pharmacy
(304) 675-1612 Ext: 120

Signed By Date

7/17/2013

340B Drug Pricing Program Database