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HV00612 SOUTHWEST CARE CENTER (Active)
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Main Details
Name
SOUTHWEST CARE CENTER
Subdivision Name
Type
Ryan White Part C
340B ID
HV00612
Grant Number
H76HA00612
Additional Details
Current Program Status
Active
Registration Date
6/2/2008
Participating Start Date
7/1/2008
Participating Approval Date
6/3/2008
Last Recertification Date
2/12/2025
Time Period the Assistance was Received
9/30/2000 - 4/30/2025
Contacts
Authorizing Official
Southwest Care Center
Jason Sanchez, CFO
(505) 395-2659
Primary Contact
Southwest CARE Center
Brianna Harrand, Director of Pharmacy Services
(505) 955-9454 Ext: 1018
Addresses
Street Address
649 HARKLE ROAD
SANTA FE, NM 87505
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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06/29/09 UPDATED ENTITY ADDR(WAS SUITE #E.)
01/08/2010
May 2025
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