340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
NORTHSIDE PHARMACY
CH08103L HORIZON HEALTH CARE INC
Print
Covered Entity Details
Entity Name
HORIZON HEALTH CARE INC
Subdivision Name
HORIZON HEALTH - HURON
Type
HRSA-Funded Health Center
340B ID
CH08103L
Entity Address
1000 18th St SW STE 27
Huron, SD 57350-3488
Grant Number
H80CS00135
Participating Start Date
4/1/2012
Last Recertification Date
3/5/2025
Pharmacy Details
Pharmacy Name
NORTHSIDE PHARMACY
Pharmacy Address
100 DAKOTA AVE N STE A
HURON, SD 57350-1630
Pharmacy Comments
Contract Details
Approval Date
1/10/2014
Contract Begin Date
4/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2017
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
WADE ERICKSON, CFO
(605) 772-4525
Contract Pharmacy Representative
Shane's Pharmacy
Shane Clarambeau, CEO
(605) 223-9200
Signed By Date
1/10/2014
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session