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VILAS PHARMACY
CH08103X HORIZON HEALTH CARE INC
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Covered Entity Details
Entity Name
HORIZON HEALTH CARE INC
Subdivision Name
HORIZON HEALTH - FAITH
Type
HRSA-Funded Health Center
340B ID
CH08103X
Entity Address
112 N. 2ND AVE WEST
FAITH, SD 57626
Grant Number
H80CS00135
Participating Start Date
7/1/2016
Last Recertification Date
3/5/2025
Pharmacy Details
Pharmacy Name
VILAS PHARMACY
Pharmacy Address
COMMUNITY PHARMACIES INC
100 MAIN ST
PO BOX 637
FAITH, SD 57626-0637
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
Vilas of Highmore
James Stephens, President/Owner
(605) 224-4538
Signed By Date
4/17/2023
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