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VILAS PHARMACY
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
VILAS PHARMACY
Pharmacy Address
223 S MAIN ST
EAGLE BUTTE, SD 57625
Pharmacy Comments
Contract Details
Approval Date
4/14/2016
Contract Begin Date
7/1/2016
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
WADE ERICKSON, CFO
(605) 772-4525
Contract Pharmacy Representative
Vilas of Highmore
James Stephens, President/Owner
(605) 224-4538
Signed By Date
4/14/2016
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