340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WAL-MART PHARMACY 10-3596
CH06024A FIRST CHOICE COMMUNITY HEALTHCARE
Print
Covered Entity Details
Entity Name
FIRST CHOICE COMMUNITY HEALTHCARE
Subdivision Name
1ST CHOICE/LOS LUNAS
Type
HRSA-Funded Health Center
340B ID
CH06024A
Entity Address
145 Don Pasqual NW
Los Lunas, NM 87031-8841
Grant Number
H80CS00202
Participating Start Date
12/1/1992
Last Recertification Date
2/24/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-3596
Pharmacy Address
2250 MAIN STREET NW
LOS LUNAS, NM 87031
Pharmacy Comments
Contract Details
Approval Date
7/17/2018
Contract Begin Date
10/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
ROBERT DEFELICE, CEO
(505) 873-7401
Contract Pharmacy Representative
CH060240
ROBERT DEFELICE, CEO
(505) 873-7401
Signed By Date
7/17/2018
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session