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VILAS PHARMACY
CH00456E RURAL HEALTH CARE, INC.
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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
VILAS PHARMACY
Pharmacy Address
120 COMMERCIAL SE
PO BOX 419
HIGHMORE, SD 57345
Pharmacy Comments
Contract Details
Approval Date
7/15/2016
Contract Begin Date
10/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2020
Pharmacy closed
Contacts
Covered Entity Signing Official
JAMES M. HARDWICK, CEO
(605) 223-2200
Contract Pharmacy Representative
Vilas of Highmore
James Stephens, President/Owner
(605) 224-4538
Signed By Date
7/15/2016
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