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GAULEY RIVER PHARMACY
CAH511301-00 WEBSTER MEMORIAL HOSPITAL, INC.
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Covered Entity Details
Entity Name
WEBSTER MEMORIAL HOSPITAL, INC.
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH511301-00
Entity Address
125 Diana Drive
WEBSTER SPRINGS, WV 26288
Medicare Provider Number
511301
Participating Start Date
4/1/2011
Last Recertification Date
8/22/2024
Pharmacy Details
Pharmacy Name
GAULEY RIVER PHARMACY
Pharmacy Address
GAULEY RIVER PHARMACY, INC.
433 CRAIGSVILLE RD.
SUITE 2
CRAIGSVILLE, WV 26205
Pharmacy Comments
Contract Details
Approval Date
7/11/2017
Contract Begin Date
10/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/30/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
JULIE CLUTTER, DIRECTOR FINANCIAL SERVICES
(304) 847-5682 Ext: 3100
Contract Pharmacy Representative
Gauley River Pharmacy
Kris Moose, Owner
(304) 742-5001
Signed By Date
7/11/2017
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