340B Drug Pricing Program Database

Pharmacy Name

FAMILY FARE PHARMACY #3253

Pharmacy Address

1516 E SAINT PATRICK ST
RAPID CITY, SD 57703-4136

Pharmacy Comments

Approval Date

1/23/2018

Contract Begin Date

4/1/2018

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Paulette Davidson, Chief Operating Officer
(605) 755-9138

Contract Pharmacy Representative

Prevos Family Markets, Inc., Family Fare, LLC
Kristina Rooney, Pharmacy Contract Admin
(616) 878-2761

Signed By Date

1/23/2018