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WHITE RIVER COMMUNITY PHARMACY
CH08103H HORIZON HEALTH CARE, INC
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Covered Entity Details
Entity Name
HORIZON HEALTH CARE, INC
Subdivision Name
HORIZON HEALTH - WHITE RIVER
Type
HRSA-Funded Health Center
340B ID
CH08103H
Entity Address
309 E 4th St
WHITE RIVER, SD 57579-2054
Grant Number
H80CS00135
Participating Start Date
1/1/2003
Last Recertification Date
3/5/2025
Pharmacy Details
Pharmacy Name
WHITE RIVER COMMUNITY PHARMACY
Pharmacy Address
309 E 4TH ST
WHITE RIVER, SD 57579-2054
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
Burke Community Pharmacy
Renee Sutton, RPh
(605) 775-2294
Signed By Date
4/17/2023
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