Contract Pharmacy Details

ROGER'S FAMILY PHARMACY
CH080890 UNION COUNTY HEALTH FOUNDATION

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

ROGER'S FAMILY PHARMACY

Pharmacy Address

ROGER'S FAMILY PHARMACY
218 WEST 4TH ST
YANKTON, SD 57078

Pharmacy Comments

Contract Details

Approval Date

4/15/2014

Contract Begin Date

7/1/2014

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

4/6/2016
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

Brad Bertrand, CEO
(605) 356-3317

Contract Pharmacy Representative

Roger Renner, Owner
(605) 665-8042

Signed By Date

4/15/2014

340B Drug Pricing Program Database