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MACE'S PHARMACY INC
CHC12878-00 BELINGTON COMMUNITY MEDICAL SERVICES ASSOCIATION, INC.
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Covered Entity Details
Entity Name
BELINGTON COMMUNITY MEDICAL SERVICES ASSOCIATION, INC.
Subdivision Name
BELINGTON MEDICAL CLINIC
Type
HRSA-Funded Health Center
340B ID
CHC12878-00
Entity Address
70 N STURMER ST
BELINGTON, WV 26250-9215
Grant Number
H80CS12878
Participating Start Date
7/1/2005
Last Recertification Date
2/24/2025
Pharmacy Details
Pharmacy Name
MACE'S PHARMACY INC
Pharmacy Address
440 S MAIN ST
PHILIPPI, WV 26416-0015
Pharmacy Comments
Contract Details
Approval Date
9/12/2011
Contract Begin Date
9/12/2011
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
ERIC A. RUF, CEO
(304) 823-1333
Contract Pharmacy Representative
Ralph R. Mace III, Owner
(304) 457-4233
Signed By Date
8/22/2011
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