340B Drug Pricing Program Database
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CH06345AZ PRESBYTERIAN MEDICAL SERVICES, INC. (Active)
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Main Details
Name
PRESBYTERIAN MEDICAL SERVICES, INC.
Subdivision Name
PMS - Sandoval County Health Commons Dental Services
Type
HRSA-Funded Health Center
Site ID
BPS-H80-013121
340B ID
CH06345AZ
Grant Number
H80CS00205
Additional Details
Current Program Status
Active
Registration Date
4/1/2014
Participating Start Date
7/1/2014
Participating Approval Date
4/11/2014
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
1500 Idalia Rd. BLDG B
Bernalillo, NM 87004
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
June 2025
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