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FAMILY PHARMACY OF MOBRIDGE
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
FAMILY PHARMACY OF MOBRIDGE
Pharmacy Address
1317 10TH AVE W # 759
INC.
MOBRIDGE, SD 57601-1146
Pharmacy Comments
Contract Details
Approval Date
7/14/2016
Contract Begin Date
10/1/2016
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
WADE ERICKSON, CFO
(605) 772-4525
Contract Pharmacy Representative
FAMILY PHARMACY OF MOBIDGE
LEVI JENSEN, PHARMACIST
(605) 845-8140
Signed By Date
7/14/2016
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