340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
MEDISAVE PHARMACY INC.
CAH511315-00 POTOMAC VALLEY HOSPITAL
Print
Covered Entity Details
Entity Name
POTOMAC VALLEY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH511315-00
Entity Address
100 PIN OAK LANE
KEYSER, WV 26726
Medicare Provider Number
511315
Participating Start Date
4/1/2016
Last Recertification Date
8/12/2024
Pharmacy Details
Pharmacy Name
MEDISAVE PHARMACY INC.
Pharmacy Address
1405 BONNIE VIEW TER
DBA: MED-A-SAVE PHARMACY
KEYSER, WV 26726-2801
Pharmacy Comments
Contract Details
Approval Date
10/14/2016
Contract Begin Date
1/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/31/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Linda Shroyer, CEO
(304) 597-3510
Contract Pharmacy Representative
Chris Iames, Vice President
(304) 788-6010
Signed By Date
10/14/2016
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