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WEST VIRGINIA CVS PHARMACY, L.L.C.
CAH511321-00 ST. JOSEPHS HOSPITAL
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Covered Entity Details
Entity Name
ST. JOSEPHS HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH511321-00
Entity Address
1 AMALIA DRIVE
BUCKHANNON, WV 26201
Medicare Provider Number
511321
Participating Start Date
10/1/2015
Last Recertification Date
8/16/2024
Pharmacy Details
Pharmacy Name
WEST VIRGINIA CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 07649
74 WEST MAIN ST.
BUCKHANNON, WV 26201
Pharmacy Comments
Contract Details
Approval Date
7/14/2015
Contract Begin Date
10/1/2015
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Renee A. Hofer, Controller
(304) 473-2185
Contract Pharmacy Representative
CVS Caremark
JACKLYN PARFITT, MANAGER, PAYER RELATIONS
(401) 770-6467
Signed By Date
7/14/2015
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