Contract Pharmacy Details

SHANE'S PHARMACY
CH00456E RURAL HEALTH CARE, INC.

Covered Entity Details

Entity Name

RURAL HEALTH CARE, INC.

Subdivision Name

Access Health - Fort Pierre

Type

HRSA-Funded Health Center

340B ID

CH00456E

Entity Address

202 Island Dr STE 1
Fort Pierre, SD 57532-7303

Grant Number

H80CS00456

Participating Start Date

7/1/2011

Last Recertification Date

2/10/2025

Pharmacy Details

Pharmacy Name

SHANE'S PHARMACY

Pharmacy Address

213 E HUSTAN AVE
STE A
FORT PIERRE, SD 57532-5103

Pharmacy Comments

Contract Details

Approval Date

10/20/2011

Contract Begin Date

9/20/2011

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

12/31/2017
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

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

Contract Pharmacy Representative

Shane Clarambeau, Owner
(605) 223-9200

Signed By Date

8/22/2011