340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WV UNIVERSITY HOSPITALS 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
WV UNIVERSITY HOSPITALS INC.
Pharmacy Address
MOUNTAINEER PHARMACY
390 BIRCH ST
MORGANTOWN, WV 26505-6894
Pharmacy Comments
Contract Details
Approval Date
10/10/2017
Contract Begin Date
1/1/2018
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
WVU
Barbra May, Pharmacy Analyst
(304) 598-4848
Signed By Date
10/10/2017
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