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CARL WALKER'S DRUG STORE
CH03421E Community Care of West Virginia, Inc.
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Covered Entity Details
Entity Name
Community Care of West Virginia, Inc.
Subdivision Name
Braxton Healthcare Associates
Type
HRSA-Funded Health Center
340B ID
CH03421E
Entity Address
617 River Street
Gassaway, WV 26624-1137
Grant Number
H80CS00080
Participating Start Date
7/1/2009
Last Recertification Date
2/16/2016
Entity Termination Date
1/1/2017
Pharmacy Details
Pharmacy Name
CARL WALKER'S DRUG STORE
Pharmacy Address
620 ELK ST
GASSAWAY, WV 26624
Pharmacy Comments
Contract Details
Approval Date
5/1/2010
Contract Begin Date
5/1/2010
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2017
Contacts
Covered Entity Signing Official
RICHARD G. SIMON, CEO
(304) 924-6262
Contract Pharmacy Representative
BatJac of South Carolina
TIM ROBBINS, PRESIDENT
(304) 364-5193
Signed By Date
2/2/2010
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