340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
UNITED SUPERMARKETS, LLC
DSH320090 SANTA FE MEDICAL CENTER
Print
Covered Entity Details
Entity Name
SANTA FE MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH320090
Entity Address
4801 BECKNER ROAD
SANTA FE, NM 87507
Medicare Provider Number
320090
Participating Start Date
10/1/2020
Last Recertification Date
9/4/2024
Pharmacy Details
Pharmacy Name
UNITED SUPERMARKETS, LLC
Pharmacy Address
MARKET STREET PHARMACY #927
600 N GUADALUPE ST
SANTA FE, NM 87501
Pharmacy Comments
Contract Details
Approval Date
10/14/2020
Contract Begin Date
1/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/8/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
David Scott Graham, VP-PDS Clinical Support Srvc
(505) 841-1872
Contract Pharmacy Representative
Albertsons Companies
Chuck Hanson, Senior 340B Program Manager
(208) 395-6304
Signed By Date
10/14/2020
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