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HY-VEE PHARMACY #1892
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
HY-VEE PHARMACY #1892
Pharmacy Address
192 10TH ST
WINDOM, MN 56101-1559
Pharmacy Comments
Contract Details
Approval Date
10/5/2020
Contract Begin Date
1/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
JAMES M. HARDWICK, CEO
(605) 223-2200
Contract Pharmacy Representative
Hy-Vee
Ashley Plum, 340B Coordinator
(515) 559-5708
Signed By Date
10/5/2020
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