Contract Pharmacy Details

RITE AID OF WEST VIRGINIA, INC.
CH031250 BLUESTONE HEALTH ASSOCIATION, INC.

Covered Entity Details

Entity Name

BLUESTONE HEALTH ASSOCIATION, INC.

Subdivision Name

BLUESTONE HEALTH ASSOCIATION, INC.

Type

HRSA-Funded Health Center

340B ID

CH031250

Entity Address

3997 Beckley Rd
Princeton, WV 24740-7660

Grant Number

H80CS00450

Participating Start Date

7/1/1998

Last Recertification Date

2/11/2025

Pharmacy Details

Pharmacy Name

RITE AID OF WEST VIRGINIA, INC.

Pharmacy Address

RITE AID #2728
4248 COAL HERITAGE ROAD
BLUEFIELD, WV 24701

Pharmacy Comments

Contract Details

Approval Date

7/6/2014

Contract Begin Date

10/1/2014

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

10/24/2018
Ownership change

Contacts

Covered Entity Signing Official

Linda Hutchens, CEO
(304) 431-5499 Ext: 1168

Contract Pharmacy Representative

Rite Aid
Tammy Royer, Group Vice President, Managed Care
(717) 730-8217

Signed By Date

7/6/2014

340B Drug Pricing Program Database