340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
RITE AID OF WEST VIRGINIA, INC.
RRC510058-00 Camden-Clark Memorial Hospital Corporation d/b/a Camden Clark Medical Center
Print
Covered Entity Details
Entity Name
Camden-Clark Memorial Hospital Corporation d/b/a Camden Clark Medical Center
Subdivision Name
Type
Rural Referral Center
340B ID
RRC510058-00
Entity Address
800 Garfield Avenue
Parkersburg, WV 26101
Medicare Provider Number
510058
Participating Start Date
4/1/2014
Last Recertification Date
9/3/2014
Entity Termination Date
10/1/2015
Pharmacy Details
Pharmacy Name
RITE AID OF WEST VIRGINIA, INC.
Pharmacy Address
RITE AID #1460
1960 EAST 7TH STREET
PARKERSBURG, WV 26101
Pharmacy Comments
Contract Details
Approval Date
7/22/2014
Contract Begin Date
10/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2015
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Michael A. King, President and CEO
(304) 424-2204
Contract Pharmacy Representative
Rite Aid
Tammy Royer, Group Vice President, Managed Care
(717) 730-8217
Signed By Date
7/22/2014
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session