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PRESBYTERIAN SPECIALTY CARE PHARMACY
CAH321306-00 LINCOLN COUNTY MEDICAL CENTER
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Covered Entity Details
Entity Name
LINCOLN COUNTY MEDICAL CENTER
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH321306-00
Entity Address
211 SUDDERTH
RUIDOSO, NM 88345
Medicare Provider Number
321306
Participating Start Date
1/1/2011
Last Recertification Date
8/30/2024
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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