340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
PRESBYTERIAN SPECIALTY CARE PHARMACY
CAH321302-00 DR. DAN C TRIGG MEMORIAL HOSPITAL
Print
Covered Entity Details
Entity Name
DR. DAN C TRIGG MEMORIAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH321302-00
Entity Address
301 E MIEL DE LUNA
TUCUMCARI, NM 88401
Medicare Provider Number
321302
Participating Start Date
1/1/2011
Last Recertification Date
8/27/2024
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
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session