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SMITH'S FOOD & DRUG CTRS
CH06024G FIRST CHOICE COMMUNITY HEALTHCARE
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Covered Entity Details
Entity Name
FIRST CHOICE COMMUNITY HEALTHCARE
Subdivision Name
ALAMOSA COMMUNITY CENTER
Type
HRSA-Funded Health Center
340B ID
CH06024G
Entity Address
6900 GONZALES RD SW
ALBUQUERQUE, NM 87121-2401
Grant Number
H80CS00202
Participating Start Date
10/1/2000
Last Recertification Date
2/24/2025
Pharmacy Details
Pharmacy Name
SMITH'S FOOD & DRUG CTRS
Pharmacy Address
SMITH'S PHARMACY #498
111 COOR ROAD N.W.
ALBUQUERQUE, NM 87121
Pharmacy Comments
Contract Details
Approval Date
9/15/2009
Contract Begin Date
9/15/2009
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
ROBERT DEFELICE, CEO
(505) 873-7401
Contract Pharmacy Representative
Smiths Food & Drug Centers
Blair Woolf, Pharmacy Director
(801) 974-1302
Signed By Date
7/20/2009
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