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WALGREEN CO.
CH030880 VALLEY HEALTH SYSTEMS, INC.
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Covered Entity Details
Entity Name
VALLEY HEALTH SYSTEMS, INC.
Subdivision Name
VALLEY HEALTH - EAST HUNTINGTON
Type
HRSA-Funded Health Center
340B ID
CH030880
Entity Address
85 Donohoe Dr
Huntington, WV 25705
Grant Number
H80CS00614
Participating Start Date
4/1/2000
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
RITE AID #03462
4749 ROUTE 152
LAVALETTE, WV 25535
Pharmacy Comments
Contract Details
Approval Date
3/29/2018
Contract Begin Date
4/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
5/22/2019
Pharmacy closed
Contacts
Covered Entity Signing Official
STEVEN L. SHATTLS, CEO
(304) 525-3334 Ext: 5107
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
3/29/2018
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