Contract Pharmacy Details

RAVENSWOOD DRUG, INC.
CH052270 Hopewell Health Centers, Inc.

Covered Entity Details

Entity Name

Hopewell Health Centers, Inc.

Subdivision Name

Hopewell Health Centers - Chillicothe

Type

HRSA-Funded Health Center

340B ID

CH052270

Entity Address

1049 WESTERN AVENUE
CHILLICOTHE, OH 45601

Grant Number

H80CS00193

Participating Start Date

4/1/1996

Last Recertification Date

2/12/2025

Pharmacy Details

Pharmacy Name

RAVENSWOOD DRUG, INC.

Pharmacy Address

408 WASHINGTON ST
RAVENSWOOD, WV 26164

Pharmacy Comments

Contract Details

Approval Date

7/12/2013

Contract Begin Date

10/1/2013

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

12/14/2015
Ownership change

Contacts

Covered Entity Signing Official

MARK BRIDENBAUGH, CEO
(740) 773-1006 Ext: 2004

Contract Pharmacy Representative

Marki Walls, Owner
(304) 440-4410

Signed By Date

7/12/2013