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STATE LINE DRUG INC.
CH08103Y HORIZON HEALTH CARE INC
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Covered Entity Details
Entity Name
HORIZON HEALTH CARE INC
Subdivision Name
HORIZON HEALTH - BISON
Type
HRSA-Funded Health Center
340B ID
CH08103Y
Entity Address
105 W Main St
BISON, SD 57620-7133
Grant Number
H80CS00135
Participating Start Date
7/1/2016
Last Recertification Date
3/5/2025
Pharmacy Details
Pharmacy Name
STATE LINE DRUG INC.
Pharmacy Address
DBA SMITHS DRUG
301 MAIN AVE
LEMMON, SD 57638
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
State Line Drug
Eric Sonsalla, Owner
(605) 374-3897
Signed By Date
4/17/2023
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