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LEWIS FAMILY DRUG #72
CH081030 HORIZON HEALTH CARE, INC
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Covered Entity Details
Entity Name
HORIZON HEALTH CARE, INC
Subdivision Name
HORIZON HEALTH - HOWARD MEDICAL
Type
HRSA-Funded Health Center
340B ID
CH081030
Entity Address
208 SOUTH MAIN STREET
HOWARD, SD 57349-0099
Grant Number
H80CS00135
Participating Start Date
12/1/1992
Last Recertification Date
3/5/2025
Pharmacy Details
Pharmacy Name
LEWIS FAMILY DRUG #72
Pharmacy Address
1305 W HAVENS AVE
MITCHELL, SD 57301-4116
Pharmacy Comments
Contract Details
Approval Date
7/17/2014
Contract Begin Date
10/1/2014
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
WADE ERICKSON, CFO
(605) 772-4525
Contract Pharmacy Representative
Lewis Drug
Scott Cross, EVP
(605) 367-2800
Signed By Date
7/17/2014
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