340B Drug Pricing Program Database
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CH06345BN PRESBYTERIAN MEDICAL SERVICES, INC. (Active)
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Main Details
Name
PRESBYTERIAN MEDICAL SERVICES, INC.
Subdivision Name
PMS - TOTAH BEHAVORIAL HLTH AUTHORITY
Type
HRSA-Funded Health Center
Site ID
BPS-H80-001570
340B ID
CH06345BN
Grant Number
H80CS00205
Additional Details
Current Program Status
Active
Registration Date
8/5/2019
Participating Start Date
10/1/2019
Participating Approval Date
8/29/2019
Last Recertification Date
2/11/2025
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
1615 OJO COURT
FARMINGTON, NM 87401
Billing Address
Presbyterian Medical Services
1422 Paseo del 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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