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CLAY FAMILY PHARMACY
CAH511318-00 Montgomery General Hospital, Inc
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Covered Entity Details
Entity Name
Montgomery General Hospital, Inc
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH511318-00
Entity Address
401 Sixth Avenue
Montgomery, WV 25136
Medicare Provider Number
511318
Participating Start Date
7/1/2012
Last Recertification Date
8/16/2024
Pharmacy Details
Pharmacy Name
CLAY FAMILY PHARMACY
Pharmacy Address
2000 MAIN ST
CLAY, WV 25043
Pharmacy Comments
Contract Details
Approval Date
7/19/2017
Contract Begin Date
10/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Sherri Murray, CFO
(304) 442-1246
Contract Pharmacy Representative
Brandon Keiper, Co-Owner
(304) 587-2123
Signed By Date
7/19/2017
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