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LYNN'S DAKOTAMART PHARMACY
TB575012 SOUTH DAKOTA DEPARTMENT OF HEALTH
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Covered Entity Details
Entity Name
SOUTH DAKOTA DEPARTMENT OF HEALTH
Subdivision Name
OFFICE OF DISEASE PREVENTION AND HEALTH PROMOTION
Type
Tuberculosis
340B ID
TB575012
Entity Address
615 EAST FOURTH STREET
PIERRE, SD 57501
Grant Number
NU52PS910204
Participating Start Date
10/1/2018
Last Recertification Date
5/6/2024
Pharmacy Details
Pharmacy Name
LYNN'S DAKOTAMART PHARMACY
Pharmacy Address
LYNN'S DAKOTAMART PHARMACY
120 W SIOUX AVE
PO BOX 1158
PIERRE, SD 57501
Pharmacy Comments
Contract Details
Approval Date
10/1/2018
Contract Begin Date
1/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Cassandra Deffenbaugh, Administrator
(605) 773-3737
Contract Pharmacy Representative
Dakotamart Pharmacy
Kristen Carter, Manager
(605) 224-7396
Signed By Date
10/1/2018
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