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HAISCH FAMILY PHARMACY
CH08103AD HORIZON HEALTH CARE INC
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Covered Entity Details
Entity Name
HORIZON HEALTH CARE INC
Subdivision Name
HORIZON HEALTH - ALCESTER
Type
HRSA-Funded Health Center
340B ID
CH08103AD
Entity Address
104 W 2nd St
Alcester, SD 57001-2281
Grant Number
H80CS00135
Participating Start Date
1/1/2018
Last Recertification Date
3/5/2025
Pharmacy Details
Pharmacy Name
HAISCH FAMILY PHARMACY
Pharmacy Address
303 E 5TH ST
CANTON, SD 57013-1735
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
Anderson Pharmacy Inc.
Arnie Anderson, Owner
(605) 987-2661
Signed By Date
4/17/2023
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