340B Drug Pricing Program Database

Pharmacy Name

COMMUNITY CARE OF WEST VIRGINIA

Pharmacy Address

DBA COMMUNITY CARE PHARMACY OF WESTON
107 STAUNTON DR
WESTON, WV 26452

Pharmacy Comments

Approval Date

1/13/2016

Contract Begin Date

4/1/2016

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

10/7/2016
Agreement registered in error

Covered Entity Signing Official


Contract Pharmacy Representative

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

Signed By Date