340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
HOFFMAN DRUG
CAH431306-01 Platte Community Memorial Hospital, Inc. DBA Platte Health Center Avera
Print
Covered Entity Details
Entity Name
Platte Community Memorial Hospital, Inc. DBA Platte Health Center Avera
Subdivision Name
Platte Medical Clinic Avera
Type
Critical Access Hospital
340B ID
CAH431306-01
Entity Address
601 E 7th Street
Platte, SD 57369
Medicare Provider Number
431306
Outpatient Facility Provider Number
433415
Participating Start Date
4/1/2013
Last Recertification Date
8/28/2018
Entity Termination Date
10/1/2019
Pharmacy Details
Pharmacy Name
HOFFMAN DRUG
Pharmacy Address
408 MAIN
PO BOX 110
PLATTE, SD 57369-0110
Pharmacy Comments
Contract Details
Approval Date
4/10/2013
Contract Begin Date
7/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2019
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Mark Burket, CEO
(605) 337-3364
Contract Pharmacy Representative
Lois Hoffman, Owner
(605) 337-3662
Signed By Date
4/10/2013
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