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FRUTH PHARMACY #18
CAH511320-00 Community Health Association
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Covered Entity Details
Entity Name
Community Health Association
Subdivision Name
Jackson General Hospital
Type
Critical Access Hospital
340B ID
CAH511320-00
Entity Address
122 Pinnell Street
Ripley, WV 25271-9101
Medicare Provider Number
511320
Participating Start Date
4/1/2013
Last Recertification Date
8/13/2024
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
4/14/2016
Contract Begin Date
7/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/17/2021
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Stephanie L. McCoy, President/CEO
(304) 373-1475
Contract Pharmacy Representative
Fruth Pharmacy
Tom Willoughby, Chief Financial Officer
(304) 675-1612 Ext: 163
Signed By Date
4/14/2016
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