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LEWIS FAMILY DRUG #73
CH08103S HORIZON HEALTH CARE INC
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Covered Entity Details
Entity Name
HORIZON HEALTH CARE INC
Subdivision Name
HORIZON HEALTH - FORT THOMPSON
Type
HRSA-Funded Health Center
340B ID
CH08103S
Entity Address
125 SD Highway 249
Fort Thompson, SD 57339
Grant Number
H80CS00135
Participating Start Date
4/1/2016
Last Recertification Date
3/5/2025
Pharmacy Details
Pharmacy Name
LEWIS FAMILY DRUG #73
Pharmacy Address
201 N MAIN ST
CHAMBERLAIN, SD 57325
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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