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TRI-COUNTY HEALTH CLINIC INC DBA PRIMARY
CH03421AU COMMUNITY CARE OF WEST VIRGINIA, INC.
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Covered Entity Details
Entity Name
COMMUNITY CARE OF WEST VIRGINIA, INC.
Subdivision Name
HE White Elementary School Wellness Center
Type
HRSA-Funded Health Center
340B ID
CH03421AU
Entity Address
501 Bomont Rd.
Bomont, WV 25030-9666
Grant Number
H80CS00080
Participating Start Date
4/1/2016
Last Recertification Date
1/31/2024
Entity Termination Date
4/1/2025
Pharmacy Details
Pharmacy Name
TRI-COUNTY HEALTH CLINIC INC DBA PRIMARY
Pharmacy Address
122 CENTER STREET
PO BOX 939
CLAY, WV 25043
Pharmacy Comments
3/26/10 UPDATED ADD (WAS 125 CENTER STREET, PO BOX 147)
Contract Details
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
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
TERRY L. CRAIG, DIRECTOR OF PHARMACY SERVICES
(304) 471-2250
Signed By Date
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