Contract Pharmacy Details

S & F PHARMACY
DSH510007 ST. MARYS MEDICAL CENTER INC.

Covered Entity Details

Entity Name

ST. MARYS MEDICAL CENTER INC.

Subdivision Name

Type

Disproportionate Share Hospital

340B ID

DSH510007

Entity Address

2900 FIRST AVENUE
HUNTINGTON, WV 25702-1241

Medicare Provider Number

510007

Participating Start Date

7/1/2016

Last Recertification Date

9/5/2024

Pharmacy Details

Pharmacy Name

S & F PHARMACY

Pharmacy Address

FRUTH PHARMACY # 12
DBA FRUTH PHCY STORE #12
1419-US RT 60 EAST
HUNTINGTON, WV 25705

Pharmacy Comments

Contract Details

Approval Date

10/20/2016

Contract Begin Date

1/1/2017

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

11/1/2023
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

Angela Swearingen, VP Finance/CFO
(304) 526-1224

Contract Pharmacy Representative

Fruth Pharmacy
Andy Becker, VP Pharmacy
(304) 675-1612 Ext: 10117

Signed By Date

10/20/2016

340B Drug Pricing Program Database