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WALGREEN CO.
FQHC638101 YSLETA DEL SUR PUEBLO COMMUNITY HEALTH CENTER
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Covered Entity Details
Entity Name
YSLETA DEL SUR PUEBLO COMMUNITY HEALTH CENTER
Subdivision Name
Type
Tribal Contract/Compact with IHS (P.L. 93-638)
340B ID
FQHC638101
Entity Address
9473 Socorro Rd
EL PASO, TX 79907
Grant Number
Participating Start Date
10/1/2004
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 09368
12390 EDGEMERE BLVD
EL PASO, TX 79938
Pharmacy Comments
Contract Details
Approval Date
1/14/2013
Contract Begin Date
4/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
2/11/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Rosario Olivera, HHS DIRECTOR
(915) 858-1076 Ext: 139
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/3/2013
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