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WHITE RIVER COMMUNITY PHARMACY
CH00456E RURAL HEALTH CARE, INC.
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Covered Entity Details
Entity Name
RURAL HEALTH CARE, INC.
Subdivision Name
Access Health - Fort Pierre
Type
HRSA-Funded Health Center
340B ID
CH00456E
Entity Address
202 Island Dr STE 1
Fort Pierre, SD 57532-7303
Grant Number
H80CS00456
Participating Start Date
7/1/2011
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WHITE RIVER COMMUNITY PHARMACY
Pharmacy Address
309 E 4TH ST
WHITE RIVER, SD 57579-2054
Pharmacy Comments
Contract Details
Approval Date
7/3/2018
Contract Begin Date
10/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
JAMES M. HARDWICK, CEO
(605) 223-2200
Contract Pharmacy Representative
Burke Community Pharmacy
Renee Sutton, RPh
(605) 775-2294
Signed By Date
7/3/2018
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