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BOOTH PHARMACY INC
CH080890 UNION COUNTY HEALTH FOUNDATION
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Covered Entity Details
Entity Name
UNION COUNTY HEALTH FOUNDATION
Subdivision Name
Community Health Clinic
Type
HRSA-Funded Health Center
340B ID
CH080890
Entity Address
204 E Main St
Elk Point, SD 57025-2334
Grant Number
H80CS00534
Participating Start Date
4/1/1998
Last Recertification Date
1/26/2017
Entity Termination Date
10/1/2017
Pharmacy Details
Pharmacy Name
BOOTH PHARMACY INC
Pharmacy Address
903 CENTRAL AVE
PO BOX 233
HAWARDEN, IA 51023-2233
Pharmacy Comments
Contract Details
Approval Date
8/1/2012
Contract Begin Date
8/1/2012
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2017
Contacts
Covered Entity Signing Official
Mary Metz, Chief Executive Officer
(605) 356-3317
Contract Pharmacy Representative
Matt Hummel, Owner
(712) 551-2374
Signed By Date
7/26/2012
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