Contract Pharmacy Details

LEWIS DRUG #12
CH00456E RURAL HEALTH CARE, INC.

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

LEWIS DRUG #12

Pharmacy Address

910 22ND AVE S
BROOKINGS, SD 57006-2830

Pharmacy Comments

Contract Details

Approval Date

1/5/2021

Contract Begin Date

4/1/2021

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

JAMES M. HARDWICK, CEO
(605) 223-2200

Contract Pharmacy Representative

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

Signed By Date

1/5/2021