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BOOTH PHARMACY INC
CH08103AC HORIZON HEALTH CARE INC
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Covered Entity Details
Entity Name
HORIZON HEALTH CARE INC
Subdivision Name
HORIZON HEALTH - ALCESTER DENTAL
Type
HRSA-Funded Health Center
340B ID
CH08103AC
Entity Address
111 Iowa St
Alcester, SD 57001-7700
Grant Number
H80CS00135
Participating Start Date
1/1/2018
Last Recertification Date
3/5/2025
Pharmacy Details
Pharmacy Name
BOOTH PHARMACY INC
Pharmacy Address
903 CENTRAL AVE
PO BOX 233
HAWARDEN, IA 51023-2233
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
Booth Pharmacy
Matt Hummel, Owner
(712) 551-1616
Signed By Date
4/17/2023
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