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LEWIS FAMILY DRUG #72
CH08103F HORIZON HEALTH CARE, INC
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Covered Entity Details
Entity Name
HORIZON HEALTH CARE, INC
Subdivision Name
HORIZON HEALTH - WOONSOCKET
Type
HRSA-Funded Health Center
340B ID
CH08103F
Entity Address
302 S DUMONT AVENUE
PO Box 368
WOONSOCKET, SD 57385-0368
Grant Number
H80CS00135
Participating Start Date
1/1/2003
Last Recertification Date
3/5/2025
Pharmacy Details
Pharmacy Name
LEWIS FAMILY DRUG #72
Pharmacy Address
1305 W HAVENS AVE
MITCHELL, SD 57301-4116
Pharmacy Comments
Contract Details
Approval Date
4/17/2023
Contract Begin Date
5/8/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Melissa Hofer, Chief Financial Officer
(605) 772-4525
Contract Pharmacy Representative
Lewis Drug
Scott Cross, EVP
(605) 367-2800
Signed By Date
4/17/2023
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