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PENN WAY PHARMACY
CHC08238-00 CHANGE, INCORPORATED
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Covered Entity Details
Entity Name
CHANGE, INCORPORATED
Subdivision Name
Family Medical Care Community Health Center - Hancock County
Type
HRSA-Funded Health Center
340B ID
CHC08238-00
Entity Address
3136 West St
Weirton, WV 26062-4637
Grant Number
H80CS08238
Participating Start Date
4/1/2007
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
PENN WAY PHARMACY
Pharmacy Address
PENN WAY PHARMACY
3159 MAIN ST
WEIRTON, WV 26062
Pharmacy Comments
Contract Details
Approval Date
1/17/2017
Contract Begin Date
4/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/8/2018
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Judy Raveaux, CEO
(304) 797-7733 Ext: 1311
Contract Pharmacy Representative
Paul Stakias, Owner
(304) 748-0505
Signed By Date
1/17/2017
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