340B Drug Pricing Program Database

Pharmacy Name

TRI-COUNTY PHARMACY

Pharmacy Address

COMMNITY CARE OF WEST VIRGINIA
123 QUEENS ALLEY RD
PO BOX 217
ROCK CAVE, WV 26234

Pharmacy Comments

Approval Date

2/12/2016

Contract Begin Date

4/1/2016

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

10/10/2016
Agreement registered in error

Covered Entity Signing Official


Contract Pharmacy Representative

TERRY L. CRAIG, DIRECTOR OF PHARMACY SERVICES
(304) 471-2250

Signed By Date