Contract Pharmacy Details

Vilas Pharmacy
CH00456 RURAL HEALTH CARE, INC.

Covered Entity Details

Entity Name

RURAL HEALTH CARE, INC.

Subdivision Name

COMMUNITY CARE CLINIC

Type

HRSA-Funded Health Center

340B ID

CH00456

Entity Address

608 E. GARFIELD AVE
GETTYSBURG, SD 57442-1325

Grant Number

H80CS00456

Participating Start Date

7/1/2011

Last Recertification Date

1/30/2019

Entity Termination Date

4/1/2020

Pharmacy Details

Pharmacy Name

Vilas Pharmacy

Pharmacy Address

100 Mac Lane Suite 2
Pierre, SD 57501

Pharmacy Comments

Contract Details

Approval Date

10/20/2011

Contract Begin Date

10/18/2011

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

4/1/2020
Covered Entity Terminated

Contacts

Covered Entity Signing Official

JAMES M. HARDWICK, CEO
(605) 223-2200

Contract Pharmacy Representative

JAMES STEPHENS, OWNER/PHARMACIST
(605) 222-2988

Signed By Date

10/18/2011