340B Drug Pricing Program Database
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CH063450 PRESBYTERIAN MEDICAL SERVICES, INC. (Active)
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Main Details
Name
PRESBYTERIAN MEDICAL SERVICES, INC.
Subdivision Name
PRESBYTERIAN MEDICAL SERVICES
Type
HRSA-Funded Health Center
Site ID
BPS-H80-000712
340B ID
CH063450
Grant Number
H80CS00205
Additional Details
Current Program Status
Active
Registration Date
12/1/1992
Participating Start Date
12/1/1992
Participating Approval Date
8/26/2004
Last Recertification Date
2/18/2025
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
1422 PASEO DE PERALTA
SANTA FE, NM 87501-4391
Billing Address
Presbyterian Medical Services
P.O. Box 2267
Santa Fe, NM 87504-2267
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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5/25/07 - UPDATED ZIP CODE (WAS 87504)
05/25/2007
May 2025
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