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VILAS PHARMACY
CHC00349-00 PRAIRIE COMMUNITY HEALTH INC
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Covered Entity Details
Entity Name
PRAIRIE COMMUNITY HEALTH INC
Subdivision Name
FAITH COMMUNITY HLTH CTR
Type
HRSA-Funded Health Center
340B ID
CHC00349-00
Entity Address
112 N. 2ND AVE, WEST
FAITH, SD 57626-0000
Grant Number
H80CS00349
Participating Start Date
10/1/2009
Last Recertification Date
3/3/2016
Entity Termination Date
7/1/2016
Pharmacy Details
Pharmacy Name
VILAS PHARMACY
Pharmacy Address
223 S MAIN ST
EAGLE BUTTE, SD 57625
Pharmacy Comments
Contract Details
Approval Date
10/3/2014
Contract Begin Date
1/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/16/2016
Covered Entity Terminated
Contacts
Covered Entity Signing Official
PAM LOCKEN, CEO
(605) 466-2120
Contract Pharmacy Representative
Vilas of Highmore
James Stephens, President/Owner
(605) 224-4538
Signed By Date
10/3/2014
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