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JUDY'S DRUG STORE 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
JUDY'S DRUG STORE INC
Pharmacy Address
24 N MAIN ST
PETERSBURG, WV 26847-1518
Pharmacy Comments
Contract Details
Approval Date
7/3/2013
Contract Begin Date
10/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/2/2019
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
JOE BARNES, CHIEF FINANCIAL OFFICER
(304) 257-1026 Ext: 5802
Contract Pharmacy Representative
Judy's Drug Store
Emily Judy, Owner/Pharmacist
(304) 257-1044
Signed By Date
7/3/2013
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