Contract Pharmacy Details

LEWIS DRUG #5
CH081030 HORIZON HEALTH CARE, INC

Covered Entity Details

Entity Name

HORIZON HEALTH CARE, INC

Subdivision Name

HORIZON HEALTH - HOWARD MEDICAL

Type

HRSA-Funded Health Center

340B ID

CH081030

Entity Address

208 SOUTH MAIN STREET
HOWARD, SD 57349-0099

Grant Number

H80CS00135

Participating Start Date

12/1/1992

Last Recertification Date

3/5/2025

Pharmacy Details

Pharmacy Name

LEWIS DRUG #5

Pharmacy Address

741 S WASHINGTON AVE
MADISON, SD 57042-3409

Pharmacy Comments

Contract Details

Approval Date

10/12/2018

Contract Begin Date

1/1/2019

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

WADE ERICKSON, CFO
(605) 772-4525

Contract Pharmacy Representative

Lewis Drug
Scott Cross, EVP
(605) 367-2800

Signed By Date

10/12/2018