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FAMILY FARE PHARMACY #3253
CH08189B COMMUNITY HEALTH CENTER OF THE BLACK HILLS, INC.
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Covered Entity Details
Entity Name
COMMUNITY HEALTH CENTER OF THE BLACK HILLS, INC.
Subdivision Name
GENERAL BEADLE SCHOOL BASED COMMUNITY HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH08189B
Entity Address
10 VAN BUREN
RAPID CITY, SD 57701
Grant Number
H80CS00216
Participating Start Date
3/14/2018
Last Recertification Date
2/12/2025
Entity Termination Date
7/1/2025
Pharmacy Details
Pharmacy Name
FAMILY FARE PHARMACY #3253
Pharmacy Address
1516 E SAINT PATRICK ST
RAPID CITY, SD 57703-4136
Pharmacy Comments
Contract Details
Approval Date
7/6/2020
Contract Begin Date
10/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2025
Covered Entity Terminated
Contacts
Covered Entity Signing Official
JAMIE DAHLMAN, FINANCE DIRECTOR
(605) 721-8939 Ext: 204
Contract Pharmacy Representative
CHCBH
Gary L Meyers, Pharmacy Director
(605) 716-5509
Signed By Date
7/6/2020
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