340B Drug Pricing Program Database

Pharmacy Name

Burke Community Pharmacy Dba Mission Pharmacy

Pharmacy Address

161 S MAIN STREET
MISSION, SD 57555

Pharmacy Comments

06/18/2012 name update (added Dba); 6/16/11 UPDATED NAME(WAS THE REMEDY SHOPPE); 9/14/10 UPDATED ADDR (WAS 103 WEST HWY. 16, PRESHO, 57568)

Approval Date

4/16/2010

Contract Begin Date

4/16/2010

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

3/20/2017
Agreement registered in error

Covered Entity Signing Official

JOHN MENGENHAUSEN, CEO
(605) 772-4525

Contract Pharmacy Representative

MARLA J. HAYES, OWNER
(605) 895-6337

Signed By Date

3/29/2010