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WALGREENS SPECIALTY PHARMACY, LLC
HV00130 UNM TRUMAN HEALTH SERVICES
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Covered Entity Details
Entity Name
UNM TRUMAN HEALTH SERVICES
Subdivision Name
Type
Ryan White Part C
340B ID
HV00130
Entity Address
801 Encino Place NE
Building F
ALBUQUERQUE, NM 87102
Grant Number
H76HA00130-34-00
Participating Start Date
7/1/2010
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
WALGREENS SPECIALTY PHARMACY, LLC
Pharmacy Address
DBA WALGREENS SPECIALTY PHARMACY #15438
41460 HAGGERTY CIR S
CANTON, MI 48188
Pharmacy Comments
Contract Details
Approval Date
7/14/2021
Contract Begin Date
10/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
2/4/2025
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Marjorie Goldstein, CFO
(505) 272-3558
Contract Pharmacy Representative
Truman
Sam Sanchez, Director, Pharmacy Services
(505) 925-0988
Signed By Date
7/14/2021
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