340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WEST VIRGINIA CVS PHARMACY, L.L.C.
CAH511311-00 HAMPSHIRE MEMORIAL HOSPITAL, INC.
Print
Covered Entity Details
Entity Name
HAMPSHIRE MEMORIAL HOSPITAL, INC.
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH511311-00
Entity Address
363 Sunrise Boulevard
ROMNEY, WV 26757
Medicare Provider Number
511311
Participating Start Date
9/13/2010
Last Recertification Date
8/23/2024
Pharmacy Details
Pharmacy Name
WEST VIRGINIA CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 05961
30 HERITAGE CIRCLE
ROMNEY, WV 26757
Pharmacy Comments
Contract Details
Approval Date
1/9/2014
Contract Begin Date
4/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/2/2015
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
NEIL MCLAUGHLIN, PRESIDENT
(304) 258-1234
Contract Pharmacy Representative
CVS Caremark
Anthony Gratto, 340B Vendor Manager
(401) 770-7298
Signed By Date
1/9/2014
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