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SHOPKO PHARMACY #2078
CH081890 COMMUNITY HEALTH CENTER OF THE BLACK HILLS, INC.
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Covered Entity Details
Entity Name
COMMUNITY HEALTH CENTER OF THE BLACK HILLS, INC.
Subdivision Name
Type
HRSA-Funded Health Center
340B ID
CH081890
Entity Address
350 Pine Street
RAPID CITY, SD 57701
Grant Number
H80CS00216
Participating Start Date
1/1/2007
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
SHOPKO PHARMACY #2078
Pharmacy Address
1845 HAINES AVENUE
RAPID CITY, SD 57701
Pharmacy Comments
Contract Details
Approval Date
4/12/2017
Contract Begin Date
7/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/28/2019
Pharmacy closed
Contacts
Covered Entity Signing Official
JAMIE DAHLMAN, FINANCE DIRECTOR
(605) 721-8939 Ext: 204
Contract Pharmacy Representative
ShopKo
Lorie Neumann, Contracting & Compliance
(920) 429-4726
Signed By Date
4/12/2017
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