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RITE AID OF WEST VIRGINIA, INC.
CAH511316-00 GRANT MEMORIAL HOSPITAL, INC.
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Covered Entity Details
Entity Name
GRANT MEMORIAL HOSPITAL, INC.
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH511316-00
Entity Address
117 HOSPITAL DRIVE
PETERSBURG, WV 26847
Medicare Provider Number
511316
Participating Start Date
8/12/2010
Last Recertification Date
8/16/2024
Pharmacy Details
Pharmacy Name
RITE AID OF WEST VIRGINIA, INC.
Pharmacy Address
RITE AID #3399
71 MOUNTAINEER DRIVE
HC 73 BOX 1-F
FRANKLIN, WV 26807
Pharmacy Comments
Contract Details
Approval Date
4/3/2013
Contract Begin Date
7/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
2/16/2018
Ownership change
Contacts
Covered Entity Signing Official
JOE BARNES, CHIEF FINANCIAL OFFICER
(304) 257-1026 Ext: 5802
Contract Pharmacy Representative
Rite Aid
Tammy Royer, Group Vice President, Managed Care
(717) 730-8217
Signed By Date
4/3/2013
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