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FRUTH PHARMACY #18
CAH511306-00 HOSPITAL DEVELOPMENT CORPORATION DBA ROANE GENERAL HOSPITAL
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Covered Entity Details
Entity Name
HOSPITAL DEVELOPMENT CORPORATION DBA ROANE GENERAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH511306-00
Entity Address
200 HOSPITAL DRIVE
SPENCER, WV 25276
Medicare Provider Number
511306
Participating Start Date
7/1/2011
Last Recertification Date
9/3/2024
Pharmacy Details
Pharmacy Name
FRUTH PHARMACY #18
Pharmacy Address
218 MARKET ST
SPENCER, WV 25276
Pharmacy Comments
04/18/2012 updated name and address (was Fruth Pharmacy Corporation #18, remove "street" from address line 1)
Contract Details
Approval Date
3/26/2012
Contract Begin Date
3/26/2012
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
DOUGLAS E. BENTZ, CEO
(304) 927-6200
Contract Pharmacy Representative
Fruth Pharmacy
Andy Becker, VP Pharmacy
(304) 675-1612 Ext: 10117
Signed By Date
3/7/2012
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