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MARTIN DRUG & MERCANTILE
CH08103K HORIZON HEALTH CARE, INC
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Covered Entity Details
Entity Name
HORIZON HEALTH CARE, INC
Subdivision Name
HORIZON HEALTH - MARTIN MEDICAL
Type
HRSA-Funded Health Center
340B ID
CH08103K
Entity Address
109 PUGH STREET
MARTIN, SD 57551-0000
Grant Number
H80CS00135
Participating Start Date
7/1/2011
Last Recertification Date
3/5/2025
Pharmacy Details
Pharmacy Name
MARTIN DRUG & MERCANTILE
Pharmacy Address
304 MAIN ST
P.O. BOX A
MARTIN, SD 57551-0050
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
Martin Drug & Mercantile
Kirk Wilson, Owner
(605) 685-6200
Signed By Date
4/17/2023
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