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BOSWELL PHARMACY SERVICES, LLC
STD875021 New Mexico Corrections Department
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Covered Entity Details
Entity Name
New Mexico Corrections Department
Subdivision Name
Health Services
Type
Sexually Transmitted Diseases
340B ID
STD875021
Entity Address
4337 State Road 14
Santa Fe, NM 87502-0116
Grant Number
NH25PS005180
Participating Start Date
7/1/2020
Last Recertification Date
5/6/2024
Pharmacy Details
Pharmacy Name
BOSWELL PHARMACY SERVICES, LLC
Pharmacy Address
131 SCHOOLHOUSE ROAD
P O BOX 266
JENNERSTOWN, PA 15547
Pharmacy Comments
Contract Details
Approval Date
4/30/2020
Contract Begin Date
7/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Wendy Price, Behavioral Health Bureau Chief
(505) 383-2857
Contract Pharmacy Representative
BosWell Pharmacy Services, LLC
Carolyn Kovach, Client Relations Director
(888) 688-3288
Signed By Date
4/10/2020
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