Contract Pharmacy Details

WHITE DRUG #52
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

WHITE DRUG #52

Pharmacy Address

706 38TH ST N STE B
FARGO, ND 58102-2953

Pharmacy Comments

Contract Details

Approval Date

1/12/2022

Contract Begin Date

4/1/2022

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

7/19/2022
Pharmacy closed

Contacts

Covered Entity Signing Official

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

Contract Pharmacy Representative

Thrifty White
KATTI KRAEMER, PHARMACY MGR
(701) 893-9217

Signed By Date

1/12/2022