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FRUTH
CH03844G WOMENCARE, INC.
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Covered Entity Details
Entity Name
WOMENCARE, INC.
Subdivision Name
FamilyCare Health Center - Eleanor
Type
HRSA-Funded Health Center
340B ID
CH03844G
Entity Address
503 Roosevelt Blvd.
Eleanor, WV 25070
Grant Number
H80CS00827
Participating Start Date
4/1/2010
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
FRUTH
Pharmacy Address
FRUTH PHARMACY #20
501 ROOSEVELT BLVD
ELEANOR, WV 25070
Pharmacy Comments
Contract Details
Approval Date
6/10/2010
Contract Begin Date
6/21/2010
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Martha Carter, CEO
(304) 760-6316
Contract Pharmacy Representative
ERIC LAMBERT, VICE PRESIDENT OF PHARMACY
Signed By Date
6/4/2010
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