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MEDICAP PHARMACY
CH06392A LA FAMILIA MEDICAL CENTER INC
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Covered Entity Details
Entity Name
LA FAMILIA MEDICAL CENTER INC
Subdivision Name
LA FAMILIA MEDICAL CENTER
Type
HRSA-Funded Health Center
340B ID
CH06392A
Entity Address
1035 Alto St
Santa Fe, NM 87501-2406
Grant Number
H80CS00606
Participating Start Date
12/1/1992
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
MEDICAP PHARMACY
Pharmacy Address
2801 RODEO ROAD
SUITE A-1
SANTA FE, NM 87507
Pharmacy Comments
Contract Details
Approval Date
4/3/2013
Contract Begin Date
7/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/24/2015
Pharmacy closed
Contacts
Covered Entity Signing Official
John Cassidy, CEO
(505) 982-4599 Ext: 1324
Contract Pharmacy Representative
Dale Whittleton, Owner
(505) 471-6177
Signed By Date
4/3/2013
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