340B Drug Pricing Program Database

Pharmacy Name

SMITHS FOOD & DRUG CENTERS

Pharmacy Address

SMITH'S PHARMACY #461
2308 CERRILLOS ROAD
SANTA FE, NM 87505

Pharmacy Comments

Approval Date

10/15/2020

Contract Begin Date

1/1/2021

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

David Scott Graham, VP-PDS Clinical Support Srvc
(505) 841-1872

Contract Pharmacy Representative

Kroger
Anastasia Frey, Senior Manager, Payor Contracting
(513) 698-1875

Signed By Date

10/15/2020