Contract Pharmacy Details

LEWIS DRUG #4
CH081030 HORIZON HEALTH CARE, INC

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 DRUG #4

Pharmacy Address

1950 DAKOTA AVE S
HURON, SD 57350-4026

Pharmacy Comments

Contract Details

Approval Date

4/13/2017

Contract Begin Date

7/1/2017

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

WADE ERICKSON, CFO
(605) 772-4525

Contract Pharmacy Representative

Signed By Date

4/13/2017