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RITE AID OF VIRGINIA, INC.
CAH491305-00 SHENANDOAH MEMORIAL HOSPITAL
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Covered Entity Details
Entity Name
SHENANDOAH MEMORIAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH491305-00
Entity Address
759 SOUTH MAIN STREET
WOODSTOCK, VA 22664
Medicare Provider Number
491305
Participating Start Date
9/27/2010
Last Recertification Date
8/23/2024
Pharmacy Details
Pharmacy Name
RITE AID OF VIRGINIA, INC.
Pharmacy Address
RITE AID #1893
335 CRYSTAL LANE
STRASBURG, VA 22657
Pharmacy Comments
Contract Details
Approval Date
11/26/2012
Contract Begin Date
1/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/13/2017
Ownership change
Contacts
Covered Entity Signing Official
VIRGINIA KILMER, CFO
(540) 459-1120
Contract Pharmacy Representative
Rite Aid
Ruth Lightner, Director
(717) 731-6524
Signed By Date
10/10/2012
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