340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
VILAS PHARMACY
CAH431337-00 AVERA HAND COUNTY MEMORIAL HOSPITAL
Print
Covered Entity Details
Entity Name
AVERA HAND COUNTY MEMORIAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH431337-00
Entity Address
300 W 5TH ST
MILLER, SD 57362
Medicare Provider Number
431337
Participating Start Date
9/30/2010
Last Recertification Date
8/22/2024
Pharmacy Details
Pharmacy Name
VILAS PHARMACY
Pharmacy Address
120 COMMERCIAL SE
PO BOX 419
HIGHMORE, SD 57345
Pharmacy Comments
Contract Details
Approval Date
10/13/2017
Contract Begin Date
1/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
5/1/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
BRYAN BREITLING, ADMINISTRATOR
(605) 853-2421 Ext: 399
Contract Pharmacy Representative
Vilas of Highmore
James Stephens, President/Owner
(605) 224-4538
Signed By Date
10/13/2017
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