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Burke Community Pharmacy Dba Mission Pharmacy
CH08103G HORIZON HEALTH CARE INC
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Covered Entity Details
Entity Name
HORIZON HEALTH CARE INC
Subdivision Name
HORIZON HEALTH - MISSION
Type
HRSA-Funded Health Center
340B ID
CH08103G
Entity Address
161 SOUTH MAIN STREET
MISSION, SD 57555-0049
Grant Number
H80CS00135
Participating Start Date
1/1/2003
Last Recertification Date
3/5/2025
Pharmacy Details
Pharmacy Name
Burke Community Pharmacy Dba Mission Pharmacy
Pharmacy Address
161 S MAIN STREET
MISSION, SD 57555
Pharmacy Comments
06/18/2012 name update (added Dba); 6/16/11 UPDATED NAME(WAS THE REMEDY SHOPPE); 9/14/10 UPDATED ADDR (WAS 103 WEST HWY. 16, PRESHO, 57568)
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
Burke Community Pharmacy
Renee Sutton, RPh
(605) 775-2294
Signed By Date
4/17/2023
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