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ALBERTSONS MARKET PHARMACY #691
CH061290 LA CASA DE BUENA SALUD
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Covered Entity Details
Entity Name
LA CASA DE BUENA SALUD
Subdivision Name
Type
HRSA-Funded Health Center
340B ID
CH061290
Entity Address
1515 WEST FIR
PORTALES, NM 88130
Grant Number
H80CS00404
Participating Start Date
12/1/1992
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
ALBERTSONS MARKET PHARMACY #691
Pharmacy Address
900 W. 2ND ST
ROSWELL, NM 88201-3006
Pharmacy Comments
Contract Details
Approval Date
10/14/2020
Contract Begin Date
1/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Carmen Pacheco, COO
(575) 356-6695 Ext: 3801
Contract Pharmacy Representative
La Casa Family Health Center
Joe Ray Carrillo, Consultant Pharmacist
(575) 356-6695
Signed By Date
10/14/2020
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