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PRESBYTERIAN SPECIALTY CARE PHARMACY
DSH320022 PLAINS REGIONAL MEDICAL CENTER - CLOVIS
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Covered Entity Details
Entity Name
PLAINS REGIONAL MEDICAL CENTER - CLOVIS
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH320022
Entity Address
2100 NORTH DR MARTIN LUTHER KING JR BLVD
CLOVIS, NM 88101
Medicare Provider Number
320022
Participating Start Date
4/1/2005
Last Recertification Date
9/6/2024
Pharmacy Details
Pharmacy Name
PRESBYTERIAN SPECIALTY CARE PHARMACY
Pharmacy Address
4580 PARADISE BLVD. NW
ALBUQUERQUE, NM 87114-4105
Pharmacy Comments
Contract Details
Approval Date
4/6/2021
Contract Begin Date
4/6/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
David Scott Graham, VP-PDS Clinical Support Srvc
(505) 841-1872
Contract Pharmacy Representative
Presbyterian Specialty Care Pharmacy
MATTHEW NAGY, ENTERPRISE WIDE DIRECTOR OF PHARMACY
(505) 841-1872
Signed By Date
4/6/2021
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