Contract Pharmacy Details

WALGREEN CO.
CH037920 RITCHIE COUNTY PRIMARY CARE ASSOCIATION, INC

Covered Entity Details

Entity Name

RITCHIE COUNTY PRIMARY CARE ASSOCIATION, INC

Subdivision Name

Type

HRSA-Funded Health Center

340B ID

CH037920

Entity Address

135 SOUTH PENN AVE
HARRISVILLE, WV 26362

Grant Number

H80CS00843

Participating Start Date

1/1/2004

Last Recertification Date

2/10/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

WALGREENS #18423
1490 E MAIN ST.
HARRISVILLE, WV 26362-7700

Pharmacy Comments

Contract Details

Approval Date

2/27/2018

Contract Begin Date

4/1/2018

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

MaryBeth b McDougal, CFO
(304) 643-4005

Contract Pharmacy Representative

Ritchie Regional Health Center
MaryBeth b McDougal, CFO
(304) 643-4005

Signed By Date

2/27/2018

340B Drug Pricing Program Database