340B Drug Pricing Program Database
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CH06345AQ PRESBYTERIAN MEDICAL SERVICES (Active)
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Main Details
Name
PRESBYTERIAN MEDICAL SERVICES
Subdivision Name
WESTERN NEW MEXICO MEDICAL GROUP BEHAVIORAL HEALTH GALLUP
Type
HRSA-Funded Health Center
Site ID
BPS-H80-002255
340B ID
CH06345AQ
Grant Number
H80CS00205
Additional Details
Current Program Status
Active
Registration Date
1/20/2011
Participating Start Date
4/1/2011
Participating Approval Date
1/27/2011
Last Recertification Date
2/21/2025
Contacts
Authorizing Official
Presbyterian Medical Services
Stephen M. Quesada, DIRECTOR OF PHARMACY
(505) 443-2634
Primary Contact
Presbyterian Medical Services - Santa Fe, NM
Julie Georgia Lucero, 340B Coordinator
(505) 231-4028
Addresses
Street Address
2025 E. AZTEC Ave
GALLUP, NM 87301
Billing Address
PRESBYTERIAN MEDICAL SERVICES
1422 PASEO DE PERALTA
SANTA FE, NM 87501
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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June 2025
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