340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
OHIO CVS STORES, L.L.C.
CAH361330-00 HOCKING VALLEY COMMUNITY HOSPITAL
Print
Covered Entity Details
Entity Name
HOCKING VALLEY COMMUNITY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH361330-00
Entity Address
601 State Route 664 N
LOGAN, OH 43138
Medicare Provider Number
361330
Participating Start Date
8/10/2010
Last Recertification Date
9/3/2024
Pharmacy Details
Pharmacy Name
OHIO CVS STORES, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 03454
1390 W. HUNTER ST.
LOGAN, OH 43138
Pharmacy Comments
Contract Details
Approval Date
2/22/2013
Contract Begin Date
4/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/6/2018
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
LeeAnn Lucas-Helber, CEO
(740) 380-8227
Contract Pharmacy Representative
CVS
Scott Tierney, Senior Director, Payer Relations
(401) 770-2762
Signed By Date
1/8/2013
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session